PAH2011

Sunday 10.11.09

10/11/09 Sunday
Karen Allen

Discussion of ADAMAS

Client came in with the dark depression of aurum metallicum, it's a heavy heavy metal and a heavy state. There was self-loathing and depression. She never recovered from a car accident years prior, where she was in back and BF got killed, divided the town, big deal. It seems she feels as if she should be punished. Cystic acne, lump in throat.
She had visual images of being hurt, maimed, poison injected in throat, chainsaw cutting off leg, etc. - every 15 minutes.
FA sexual and physical abuse history. She desc'd it broke her, pulled her down into pool of tar [beginning of carbon state]. Painful burning in rectum with constipation. Then breaking up into molecules. Then pressure. [Her story follows how a plant becomes tar becomes coal becomes diamond]

> Triangulation gives us roads to understanding remedies.
> Aurum meets nitric acid - both have deep states of self-loathing, with heavy depression and bitterness
>> Aurum- I'm responsible, screwed up and I should die
>> nit ac- it's the world's fault I'm screwed up and I should die
> Adamas - made from diamond
>> proving in 1960's by Sankoran, ground up diamond
>> proving by Dynamis school in UK [www.dynamis.edu - Jeremy Sherr school] last few years- had Helios grind up diamond
>> Another one done by guild of provers in UK done with diamond immersion
>> Another Aussie guild proving done with diamond immersion
>>> Adamas = ground diamond
>>> Diamond immersion = diamond in immersion
>>> Both had similar symptoms

Book: 12 Jewels

* Jeremey Scherr- champagne, euphoria and sparkle in his proving
* Other side of the world came up with deep, dark side like client above- with suicidal depression

Adamas feels 'I don't have a right to exist', self-condemnation
> deep state, yet incredibly precise and exact
> Extremely Syphilitic remedy, as is aurum
> Treatment that goes well should have client now believing they have a right to exist
> In Ayurvedic medicine, silver is always given prior to diamond to soften the blow
> Karen gives colloidal silver prior to giving adamas- a drop of colloidal silver on each wrist
> Often with successful treatment, the client may eventually need coal or petroleum- one of the earlier pieces of diamond creation

> Images of shards, shock, jolts, pain/injury coming to self [not others]
> heaviness
> syphilitic remedy- lots of mental illness, drug abuse, violence, destruction esp. in family history
> feeling of being frozen
> heavy pressure
> paranoid state- believes whole world can see how inviable you are
> tortuous torment beyond any aurum state, aurum is more condemned than tortured

Rape victims often have first and second chakras shut down- often have constipation, or other similar symptoms

Collapse, feelings of, indicative of 3rd row, of Carbons

Miasms
predisposition to certain types of disease
acts as a constraint
VF is restrained, cannot respond to all remedies
in chronic disease, H says miasmic patterns act in ways to prevent VF from responding to appropriate stimulus
so if you give miasmic nosode then it's as if the strait jacket is taken off the VF, you have satisfied the miasmic debt
then you can give the appropriate remedy and the VF might then be able to respond in a way they couldn't before
Asiago & Burnett are big on this, give remedy then dose of miasmic nosode, then carry on with remedy
Lynn and Karen both have this in their philosophy
>> This is an intercurrent nosode strategy

Dosage
when someone is on a lot of medications we give a daily dose
we also don't want to aggravate, so was given 6c
..……………..

Talking about Student readiness for clinic work

RELAXING INTO UNCERTAINTY
- be comfortable with patient's discomfort
- you are only responsible for documenting the patient's state
- be present with that person in their suffering and write all down

* We will develop The Practitioner Self - need to have that present with patient, not emotional persona
* Impossible not to have an emotional reaction to patients- and that will take you out of your practitioner self

* Our purpose as a practitioner is to ease suffering, to ease dis-ease
* We need to accept that there is suffering in the world, and that is part of life


..…..……………

Afternoon session with Karen : Discussion of biggest fears of what might happen in clinic

3 points of practice triangle: skill, authority, rapport

authority
> as the practitioner you have the authority
> you have the home court advantage- you get to guide where things go
> builds confidence

skills
> taking a case
> being able to write, etc.

rapport
> am I a good listener?
> personal charisma


* You do NOT need to have all three corners be strong- but pick one corner you feel strong on and build it, and rely on it

Case Management includes:
    •    client interactions outside of the consult
    •    client interactions w.in a consult
    •    tracking/assessment of client response to a remedy
    •    posology decisions
    •    benchmarking/ comparison to create client satisfaction
    •    dealing with prescription medications
    •    addressing maintaining causes and obstacles to cure
    •    dealing with practitioner fears and limitations

Maintaining cause: supports the illness, is driving the person into disease, spousal abuse, smoking, drinking coffee
Obstacle to cure: is preventing them from getting well, blocks healing, could be broad ranger of stress, etc.

DIalogues: Prepared conversations
* Be ready in advance for client interactions:
common scenarios
> appointments
> aggravations

helpful and unhelpful conversations
> unhelpful involve your own personality poking into your professional world
> legal problems- diagnosing, etc.

practice, practice, practice these until they are your own

these can make a huge difference in the success/viability of your practice

Two tips:
TELL ME MORE ABOUT THAT
REPEAT LAST PHRASE THE PERSON SAID [as a prompt]

Phrase everything in terms of:
CLIENT HEALTH
CLIENT SAFETY
WHAT IS BEST FOR YOUR CLIENT

Strategies for case mgmt:

assessment for one vs. many consults

evaluating response and Sx- track/ quantify
> check frequency, intensity, change of location/time/extension
> rate pain from 1-10

next: wait? change rx or posology? adjunct? referral?

strategies for prescription meds
> NEVER tell anyone to stop meds for any reason- or even suggest it
>> educate person on cost to VF of the meds and recommend they discuss it with their Dr.

client management: helping clients be satisfied


Plan for client: GIVE CLIENT WRITTEN PLAN
> Goes in the Case Notes AND with the client

* remedy selection and posology: Arn 12c daily
* adjuncts: tamarisk gemmo-therapy, 10d daily in water
* referrals recommended or required: cranial-sacral
* maintaining causes/obstacles to cure/prognosis:
> parents are suspicious and unsure about homeopathy

* prepare for NEXT APPT in advance:
> additional information: more about client as a person
> items to follow up on: everything on rep chart + dreams

Track/Quantify:

For each symptom that indicated the remedy given:
same? better? worse?
changed in what way? freq? intensity?
quantify- 20% better? 90% better? or 3/10 now insated of 9/10

!! You can't evaluate response over multiple follow ups unless you benchmark and quantify.
!! You need the client's own words/ figures

" I'M SO GLAD FOR YOUR SUCCESS "

Helping Clients Feel Satisfied
    •    Iceberg Theory
    •    Mountains and Molehills Theory
    •    Tyranny of the Present Moment
    •    Quarterly Benchmark- how are we doing??
    •    Afterward, hand out your business card and tell client you have room for a few new clients in your practice and you would appreciate any referrals.

Maintaining Causes:
Hahnemann says
SICK PEOPLE CAN'T TAKE ADVICE

Start with where they are
Permanent change is often GLACIAL
Anything you know that would improve YOUR health that you are not doing?? Yeah… well…


Practitioner Fears
what are you fears about practicing?
make friends with your shadow- get to know it

Make a list now

Your allies are:
education and information
mentoring
self development
experience

Goals of Case Taking

Our purpose in case taking is to gather information that defines the state of the client…
to identify the pattern of disturbance in the vital force that we will then match to a remedy pattern.


Mistaken Goals of Case taking
- proving our competence
gettign love and attention
showing how clever we are
rescuing the client from distress
building friendships
being necessary, needed, important
or any other ego extension of ourselves

H's directive
Observe what is before you!
Listen and do not interrupt… client's own words
leave space in the notes to clarify
after all is said, go back to fully develop each symptom
ask questions to complete the interview: ROS
if needed/possible, collect info from others
acute differs from chronic: FOC different from F/U

Mischief we make in Case Taking
what question do I ask?
how do I deal with the pressure/expectations?
how do I face the pain and suffering of human life?
My need to be…whatever…compels me to: project, interject, conjecture, misdirect, redirect, ignore

Eliciting Information
how to get someone to talk? be quiet
how to get someone to open up? be safe/ no agenda
> if person senses you will be judgmental they will shut up
> if person senses that you listening they will shut up
> if person senses you cannot sit with their pain, they will shut up
how to keep the interview real? be boundaried

It is not about you. It is never about you. Never. It is not about you.

Expanding Information
Make a mark in your notes - E- that is easy to see
> or circle "pain" or "hurt"
> find etiology, modalities, sensations, location, extensions concomitants

Ask about a diagnosis, how client's presentation is different that what is common. Ask about any medications altering these symptoms.

Client's own words. Details. Particulars. Clarifications.

Scanning for Information
Review of body systems: make a template
Gather data about client and family members
Be specific, give suggestions, reminders

Finishing the Interview
Visualizing the client as healthy, robust
Thanking the client for candor, trust, courage
Reviewing next steps
Scheduling the follow up appointment
These steps establish the groundwork for showing benefit of this work to the client later!

Moving from Theory to Practice
practice applying these ideas…
practice being quiet and listening intently to others
practice writing while looking elsewhere
practice being clueless, comfortable w/not knowing
practice boundaries, avoid complications, be clear
practice humility…it is never about you

A Clear Agreement
who is resp. for the client's health? the client
who is paying for the consult and when? client, before service
what forms must be signed and kept?
what are the policies that govern the relationship about scheduling, on-call support, missed appts, obtaining remedies, etc.? Stay out of the mud!

Why do psychotherapists have the policy of 'no dual relationships'? because it's best for the client!

FOC vs Follow Up: Not the Same
Initial consult: listen, expand, stay out of your way, the client directs the conversation

Follow-up: evaluate response AND client's state
we direct the conversation
we have specific things we need to follow up on
we want a status on every indication for the remedy
we want to know about new or returning symptoms
we want to maintain rapport
we want to build client satisfaction with our work

Indications of Boulders
repetition
SRP
where is there conflict for the client
etiology
recent change from "normal"
oddly explained symptoms- client justifications
life threatening symptoms - what will kill the client?

Indications of Silt
symptoms altered by medications
anything based on conjecture [verify it or skip it]
history without current connection
irrelevant but easy to repertorize
common symptom for the condition

Saturday 10.10.09

10/10/09 Saturday 
Homework: Restless leg case: identify pattern, identify impt  sx, come up with rubric set, differential of 3 remedies
>> look carefully for modalities
>> restless, cramping legs + migraines
>> def. emotional pattern
>> Find main complaints, concomitant complaints, mental/emotional Sx, General Sx

Lynn Amara - Discussion on the Flu

respiratory flu
? you've had it? what are the Sx
- itchy throat
- sneezing
- feel it in the chest, very congested
- starts with coughing
- nose draining
- eyes cry
- headache
- aches
- fever

* Practice taking flu cases on the phone, as they won't want to leave the house and you don't want them to come in.

* We'll discuss how to manage yourself- epidemics come in waves and it's important to know how to keep busy practices and not over-extend yourself. If you get overwhelmed it will bring down your own immune system.

* One strategy for prophylactic treatment is when you see clients with the flu in your office to take a small dose of whatever you gave them when they left- since you've been exposed. Your own homeopath wouldn't recommend this for you, but it's something Lynn used to do.

* Differential in the FLU is extremely important as there are many overlapping symptoms between flu cases.

Recommended books:
Borland's Influenza
Homeopathy and Practice - Borland
Homeopathic Treatment of Influenza - Sandra Perko
Desktop Companion to Physical Pathology - Morrison
Leaders in Respiratory Organs - E. B. Nash
Homeopathic Self-Care - Ullman
>> This is what Lynn recommends for clients who want to become more involved


* Over the phone Lynn walks clients through a self-exam to pull out symptoms
** Use the Homeopathic Self-Care book to walk through a self-exam
** Use the prompts you have available
* Lynn doesn't repertorize over the phone, but will do a differential on the phone, narrows it down to a few solid options- does it that quickly

First symptoms
* nose catarrh
** Catarrh is where mucus membranes have swelled, are a little dry, swollen, and full. This can happen in any mucus membrane: nose, throat, stomach, throat, vagina, rectum- any of them. "Stuffy" nose is the swelled part, not the gunk. Gunk can be thick or thin. Feeling 'all stuffed up' is indicative of the swelling.
** If you ahve catarrh without discharge = rubric 'Coryza without discharge' . Catarrh talks about time, chronic or not, post-nasal or not. In today's world we'd probably lump together catarrh and coryza- but that's not how it is our books.
** Coryza does imply gunk, but it has the added sub-rubric without discharge
** This is a dry feeling for coryza
** Just feeling of stuffiness is catarrhs

* Ask about sub-rubrics- ask about better with open air
** Coryza is specifically better with open air


* Many remedies have keynotes- but keep in mind that the opposites are often true, we can limit ourselves if we only memorize particular keynotes
* *apis can be thirstless or thirsty

* Patients that take Sudafed or Benadryl, OTC anti-histamines often drive themselves into a suppressed Pulsatilla state that leads to green goop
** Pulsatilla will then un-suppress that state
** Secondarily Kali-bi

* Current flu is focused on the throat and the larynx
** Sore throat is the leading symptom
** Nose, Coryza, inflammation larynx, with
** Nose, Coryza, sore throat with
*** Larynx is your voice box, throat is when you swallow

Nux Vomica
Gels
Hepar Sulph
** All leading remedies for current flu

** Head, Pain, heated from becoming
*** fever is coming up, blood is congested in head
*** heat= FEVER in the repertory

** Head, Pain, catarrhal

* When clients come in with a Sense of Urgency, it is essential that you slow down
* When you slow down you get the Sx that will make it possible to find the important remedies
* When you speed up, when you have urgency, then you won't get the characteristic symptoms

* When clients come in 95% of their symptoms will be common, not characteristic

* Gen, Pain, muscles, fever, during influenza
** Bryonia, Eup, Gels common remedies

* Cough, fever during
* Cough, dry, fever during
* Fever
* Fever with chill
* Gen, weakness during fever
* Back, Pain, during fever
* Eye pain, during heat
* Face, congestion during heat
** It's a look- puffy eyes, a 'besotted' look, a full look, lumpy, THICK
** Ask mother 'tell me what you child looks like'

* Face, discoloration, red, during fever
* Eyes, injected conjunctiva
** BLOODSHOT = injected

* Great Question: What does the tongue look like?
White
Any redness?
Y- red tip
** this brings you down to one remedy
* Mouth, Discoloration, Tongue, White
** white is catarrh, red tip is inflammation

* You get hi-jacked by common symptoms- because you can find it!
* Move what you've got from common into the characteristic

* Mouth, papillae of tongue, erect
** Papillae = taste buds
* Mouth, mapped tongue
** mapped tongue looks like geography, edges may be furred white, some will be red, some white, can be from B-12 deficiency, can also be correlated with liver disfunction


Book- 'The Tongue that does not lie'

* ask person to look at their throat- if they can

* Nose, sneezing
* Eyes, running
* Eye, lachrymation- during cough, during fever
* Nose, discharge, watery or purulent [thin or thick]
* Laryngial catarrh- tickling in the larynx
** Ask people to point where the tickle is- most often they think the larynx is the throat
** Throat pit = supra sternal notch

* Cough, tickle, throat pit
* Cough, tickling, bronchial bifurcation

* 'Give me some geography'- near Adam's apple? L/R? up/down?

Genus Epidemicus
- made up of puzzle pieces, common symptoms + remedies, totality is the genus epidemicus
- if one person is sick in a family and there are other sick ppl you must ask what other symptoms family members are experiencing, gives you a fuller picture
- for Flus like what is going around this fall you might put more emphasis on sore throat symptoms, for example
- there are individual, regional and cultural susceptibilities- is the envir. cold/warm, wet/dry?
-- old Materia Medica's focus on one area of practice- certain remedies will work better for certain terrains. Is the winter icy and cold, or is it like California?
-- Seattle and SF have a lot of correspondence because of fog, but very different from Sacramento

Aphorism 241- "those epidemics of intermittent fever that occur outside areas where such fevers aren;t endemic…."
- epidemics are a huge chronic case of the flu is the bottom line
- the world is in a state where it is very susceptible to such things, we are a herd species, we are depressed, anxious, tremulous, etc.
- major weather changes, major seismic activity and wars all impact wold community
-- think of the earthquakes and volcanic activity lately-  releases Mercury into the air
- Epidemics are hitting the healthy and young, those less likely to have chronic complaints
- for those with a good constitutional remedy another dose will help
- case management 'let's make some strategies for the flu…' -  this helps cut down on phone calls and worry
- first line of defense is their constitutional- but there are no guarantees
- Lynn doesn't want to blog about it because it's such a argumentative topic
> if they have eczema, hives, chronic fatigue she would privately strongly suggest they not do it
> for those who are highly susceptible might take Ledum before and after the vaccinations
> some ppl will always take the vaccinations, esp. people who teach school and work in public health

* Ledum prevents sequella if used before and after the vaccinations-right as they walk into the building and when they leave- 200C
* Sequella often come in with affinities to nervous system and the joints- and Ledum is good for both of those
* If people get reactions from a vaccination, try Ledum first
* could give belladonna, or in a week ro a month maybe Silica or Thuja


- DO NOT BE IN A HURRY
- DO NOT CHASE THE COMMON SYMPTOMS
- IF ONLY HAVE COMMON SX, GO AS DEEP AS POSSIBLE
- FIND THE MOST LIMITING SYMPTOM- ASK CLIENT IF THEY COULD PICK ONE SX TO GO AWAY, WHAT WOULD IT BE?
-- FIND OUT MODALITY, TIME, COLD/HOT, DRINKS, SWELLING, EXTENSIONS, ETC.- DIVE IN
- DO THE DIFFERENTIAL WHILE TALKING TO THE CLIENT
-- ESSENTIAL FOR EFFICIENT TIME MANAGEMENT
- BE EXTREMELY SPECIFIC WHEN TELLING CLIENT DIRECTIVES- THEY ARE SICK AND CAN'T BE VAGUE. TELL THEM DIRECTIONS FOR NEXT 24HOURS AND HAVE THEM CALL TO CHECK IN.  NO DECISION MAKING BY THE CLIENT!!
-- CAN GIVE HOMEWORK- GO OUTSIDE AND SEE IF YOU FEEL BETTER, THEN CALL ME BACK
- BE PREPARED WITH PLAN B & PLAN C
-- ALL SX MAY NOT PRESENT THE FIRST TIME AROUND, BE PREPARED WITH SECONDARY, TERTIARY CHOICE
- DON'T PROCRASTINATE ABOUT THESE CASES
- ASK AROUND IF ANY FAMILY MEMBERS ARE SICK, MAY COMPLETE THE REMEDY PROFILE
- HOMEWORK
-- "IT SEEMS YOUR SX ARE STILL DEVELOPING, LET'S GIVE YOU SOMETHING TO BOOST YOUR IMMUNE SYSTEM [LIKE OSILLOCOCC.] AND CHECK BACK WITH ME TOMORROW"
-- GEN TREATMENTS LIKE OSILLOCOCC ARE USEFUL WHEN SX ARE UNDIFFERENTIATED- ONLY WHEN IT'S MORE DEVELOPED CAN YOU REALLY NARROW DOWN A CHAR. SX OR REMEDY. GOOD FOR FIRST DAY OR TWO.

- LET YOUR CLIENT TELL THEIR STORY, THEN LOOP AROUND WITH QUESTIONS

….
EXERCISE TAKING CASE ON THE PHONE
* Creating imaginary situation where ppl can give you details
* look for red flags
* methodical, in a short space of time
* Lynn charges $35 a week- so they can check in mult. times a week without worrying of the charge
** People who have chronic problems slip in their progress if they don't get their acute issues treated, so she would rather treat the entire person
** Karen has call-in times, gives homework to check certain things by lunch- when they call at lunch she will have first and second remedy choices
** if she talks to them during call-in times there is no fee, as it's part of the client fee-structure
** if she has to talk to them outside of call-in time then $35 fee

* Lynn goes through a flowchart in her brain for asking questions of acute cases

* Best questions- find pinnacle issue and go from there

Tell me about your fever or chills: very cold, cold? wants fresh air, cold alternating with heat, hot and dry, hot and sweaty, hot and delirious, suddenly hot
- where are you cold? what part of your body? what does the cold feel like?

-- VERY COLD, bone chilling, freezing cold - narrows down to Eup-per or Ars
--- Eup is bone cold, deep

-- COLD but not super cold= Nux-v, or Ars

-- COLD alternating heat= Ars, or Mercurius
--- drooling on the pillow also = Merc

-- Hot & Dry = Bryonia
-- confirm with thirst, feeling thirsty or just drinking a lot

-- Hot & Sweaty = Gels

-- Hot & Delirious = Pyrogenium, or Baptisia
--- Pyrog. plus low/faint pulse can be super dangerous- c/b kidney failure, septicemia of the blood
--- Normal = high pulse with high fever
-- fudge with Arnica or Echinacea if Pyrog. is indicated and not available- remedies for septic states and the flu
-- Baptisia in flu can include respiratory distress, flu going into walking-pneumonia, they are unclear/sleepy/dopey, poor oxygenation. Can be diffed btw Carb-Veg. Baptisia is not as septic.


-- Suddenly hot?  = Acon, Ferr Phos, Belladonna
- how hot?
- pupils dilated? Bella
- ferr phos has very few symptoms, with just fever, worry of flu, came from nowhere
-- Karen: wonderful default position, nothing is characteristic remedy, if nothing stands out it's a good bet. Boericke said every mom should always have it as a cell salt 3/4/6x, give a dose in hot water every 15 min, brings up immune system response, less speedy fever, start giving for 1 hour and then re-evalutate
-- Acon / Bella = red face, Ferr Phos = pale face, or Keynote= red spots on cheeks

High fever = Bella, Ferr Phos


Tell me about your aches and pains- where is it felt?
- is in bones? y = Eup Per
-- how cold are you? temp of drink? like ice drinks and are cold w/Eup Per
-- people want ice to stimulate marrow in their bones, can be anemic

- is it a Headache? IN THE FLU = Bry, Gels, Nux-v, Bapt
-- Bry headaches hold head, want pressure, want to be still
--Gels headaches- dull/heavy headed, Slow Onset, like a hangover
* Headache questions ask how quick the onset? Bella comes on fast, Gels is very slow
-- Bapt, headache feels full and heavy

- Sore throat? done elsewhere

Tell me about your pains- where is it felt?

Sore throat?
- if pain extends to the ear - Nux-V, Gels, Hepar-Sulph
Is it sharp pains? y = hepar-s

Sore throat with excess saliva = Phytolaccus [Vegetable Mercury], Merc
-- Phyto worse for hot drinks, drool on pillow
-- Merc drools, BAD breath b
--- Merc sinus catarrh better from lying down [* standing drains in one way, lying down drains sinuses in another way]

Sore throat with white exudate? Merc or Baptisia
* exudate can look like coating on tongue
* Karen: in the throat, tonsular stones with white popcorn things, indicator of chronic strep
** White strep
** Yellow staph
* We no longer see mumps/diptheria, now see Eppstein-Bar [chronic mono], glandular disease, etc.

{{ Lynn: In medicine we take out one disease, ones that have been with humans for centuries- other diseases will take their place. We are replacing mumps [acute] for mono [chronic]. We, as a species, have created a place for new chronic diseases to come into play.}}


How restless or lethargic are you?

How thirsty, for what, how much?
If the pinnacle symptom is thirsty or not thirsty, it's very indicative

THIRSTY - often going into the bronchial
- Bry gulps large quantities, usually room temp.
- Phos chilly remedy that wants cold drinks
- Ars is sipping, burning throat, wants hot drinks

NOT THIRSTY- could go to lungs, etc. - ask what they WANT, not what they think they should do
- Bell. during fever phase
- Gels
- Puls can characteristically be not thirsty, can also change mind and become thirsty

What temperature do you want for your drink, food, room?

Temp= ICE COLD = Eup-Per, Phos

COLD= Phs

HOT DRINKS= Ars, Nux, Lyc, Rhus-tox

ROOM TEMP = Bry

BEER = Kali Bi
* Karen: Beer is a great adjunct for kidney stones, relaxes ureters, makes you pee

< Warm drinks = Phyt

How has your mood changed since you've been ill?
- compare with constitutional state
-- if someone has an acute, do we take their constitutional symptoms into account? no. If their mood has changed in their acute state then it's important.

IRRITABILITY= Bry, Nux, Lyc
- shift to cranky/grouchy
- chilly, wanting warm drinks, do what I say not what I do- Lyc
- Turn off the noise! sensitive to light, noise, disturbances, has a mean edge to it, Make my envir. more soft= Nux
- Don't talk to me, don't come into my room, leave me alone = Bry

WEEPY - Puls
- weepy, clingy, wanting company

DULL & Lethargic - Bapt, Gels

Tell me about the anything-elses: headache, runny nose, etc.

..…..…………………

Sequelae
- Client didn't get well, have lingering chronic state
- 3-4 weeks or more after being ill, never got well

- Lynn: first thought is to give Influenzinum for a week, then see what's left- 1-2x per day, for 7-10 days
-- Better for coughs than fatigue

FATIGUE-  Phos-ac, Cocculus
- Phos acid- taken the juice out of the bottle, taken the bubbles out of the coke-  post flu fatigue


SINUSITIS- Kali bi, Puls, Silicea, Hydrastis [fluorescent yellow orange sinus discharges]
Kali bi - Digestive



Thymuline - prophylaxis or sequelae
- 9c/12c- take every 30 min  , good with dry resp. cough
- can take it for weeks for prophylaxis, esp. with strong tubercular or psoric miasm
- strengthens thymus

Scootelarea
- Disruption of the chest chakra, about cough
- Nervous exhaustion
- Sequela for flu

Any Flu is a Bird flu
- why Osillococc. is made from bird liver

Gastric/Stomach flu
- Take osillococc 3-4x a day for 3-4 days if one person in family gets ill
- esp. when vomiting flu, not as much with achy bronchial flu


Karen: Current flu
- starts bad sore throat
- sometimes headache with it
-- headache tends to come with fever
- may or may not have fever
..…..………………….….……..…………………

Afternoon Session

John Burns
Topic: How do I know if I have a case?

We are interested in disease, in disease states.

Def. of disease:
"altered feeling and function of the body and soul" - Hahnemann

You take the case. You have many symptoms- now to dig out what will help us find a remedy.

Aphorism 6

We are told not to judge people. What we are being asked to do is to perceive. It's not prejudice, it's accurate perception.

What the person is suffering from will be clear to you when you take the case homeopathically, regardless of what they come in asking for help with.

K: there are many patterns to this, and the more you learn, the better you'll be at seeing the depths of the pattern

We have to train our sights on the disease symptoms. The altered sensation or feeling of the person.

Aphorism 7

In cases of diseases where there is no obvious maintaining…

- Hahnemann is making a difference btw an indisposition vs a chronic/dynamic disease.
Ex; patient says they have frequent urination in the night- but they drink a lot before bed. This is an indisposition.
- this may have become an imprinted pattern on the body if it's been going on for many years. If this is the case then remedies won't treat the symptoms of the indisposition.

- The totality of symptoms is the ONLY thing we have to concern ourselves with
-- this is the pattern
-- Aph. 18 also mentions the totality of symptoms- it's the disease state itself

- however not all symptoms are created equally
- we are looking at what the vital force is expressing
* what is being expressed frequently? consistently?
- we can't ignore this

* keep your eye on the intensity- what is the person suffering from most? if it's very painful then the remedy you choose must address this

* what is persistent? think of ppl who have applied steroid creams for years, and yet the eruptions continue to return

* this is the vital force shouting out to us
* persistent
* frequent
* consistent
* this helps you identify the boulders

Aph 153

* S, R, P are the most important symptoms
* There are tons of common, general symptoms, and they are useless without modalities

* really dynamic disease: change of internal body temperature too hot/cold, or it gets worse in stages throughout their life consistently going downhill

* looking for strong or characteristic symptoms
* this is what good case analysis is about

* each case should have at Least one strange, rare, or peculiar symptom

Symptoms like panic attacks, PMS, vertigo, insomnia- these are all common these day
- we need more details for individualising the symptom
- details make a 'complete' symptom
- location, sensation, modalities

Modalities are key
* sensations are 'fudgey'- people are not always accurate, also gives large rubrics
* periodicity- time modalities are key, every day at X time
* Extension is another key one
* Etiology is also important- when did it begin? what were the circumstances?
-- EX: guy with body rash, sudden onset- but it came from eating shellfish leading to Urtica Urens remedy
-- EX: kid stung by wasp, face puffed out, took Apis with no result- so gave Ledum

First Case Discussion
- READ THE CASE, re-read the case, know what you have

- numerate every symptom or symptom fragment on another piece of paper- this is another way of getting to know the case

- ask yourself which are the most intense, striking symptoms
- which ones are the most complete?

- after you have read case, understood it, wrote it out, found strongest symptoms, THEN you look at the Repertory

- Rubrics hit a sweet spot with 40-70 remedies

Morning = 5-10am
Night  goes up to 5am



DIscuss Case 4 - handout
- what is the vital force expressing? what are the complete symptoms?

eruptions on scalp, on legs- itchy, painful, moist
heat rash on chest- white blisters
ear inflammation, itchy, L -> R, crusty, red pink, white fluid, offensive odor
ear> black q-tip

can't sleep mind active
sleep from 2-3 to 6-7

hot in bed, > air conditioning
>> cool air on face

cramps, endometriosis > children
hot flashes w/o perspiration after menopause

high energy
take things to heart
temper over mean/crooked ppl
worry about sister
abusive father

love ppl, have come in at will
few friends after 39 yrs

anxiety attacks keep from driving
…

Main Complaint - Eczema
* include alopecia as a symptom even though she didn't mention it- Aph 3- what the homeopath sees is certainly grounds for symptoms in the case
* eczema
    * hairline
    * dry, scaly, itchy
    * 3-4 weeks
    * also on legs, chest, under R eye [bottom lid]
* R eye, lower lid ** important because of LOCATION

* ear infection
    * L -> R side
    * itchy
    * crusty, pinkish
    * sore
    * white fluid discharge w/offensive odor
    * black, purulent matter in ear [* black color associated with blood- could be from traveling, kept in the wax]

* bald patches

* Sleep
    * uncomfortable
    * lots of nightmares
    * insomnia, constant thoughts & worry, sleep from 2-3 to 6-7
    * > cool air on face
    * etiology - menopause

* Air: needs cool or fresh open air, or feels suffocative, claustrophobic

* Menopause:
    * bad, lots of hot flashes
    * no perspiration
    * insomnia began at this time

* Energy: good energy despite poor sleep for 8 yrs
** Sign that the vital force is doing well

* Mothers everybody
* Loves home life
* Anxiety- about family, work responsibilities

RUBRICS
* Gens, Convalescence, Menopause from, never well since
* Eye, eruption, lids on
* Head, Hair baldness, patches
* Gens, air, open amel.

Suffocation: Carbon remedies, any with suffocation, have Oxygen issues- any element with Oxygen molecule often have sensation of suffocation- came from periodic table conference last month.

REMEDY: GRAPHITES
- strong balding affinity, hormonal, wanting cool air, clear discharge from moist eruption on head, plus skin eczema/issues

Homework: identify pattern, identify impt  sx, come up with rubric set, differential of 3 remedies

Sunday 06.07.09

Handout: Compentencies list and discussion

Afternoon: fill out competencies, discuss, get assignments for follow-up

Rina: Hompath demo

Lynn- discussion of video
Conclusions:

Identify the pattern!

acute sense of smell
sensitive to noise
sensitive to touch/texture
vision: indiv eye sees diff color, and color runs to greyscale, blinks color returns

sensitive to rules: ppl, school assignments
Fastidious, rigid
insomnia

nauseated: smell, and off-balance [car, dancing, tumbling, bike]
extreme fatigue

>>throwing up
<< smell
<< cold

shiver up spine = sausage and sound chalkboard or dry eraser, or bad smell
smells to familiarize/understand

MIND, Rigidity
.............................

Video transcript:

Evan: vomiting video
we adopted at birth
- no sig prob labor or delivery
delightful child slept thru night
no prob eating
started spitting up
carried burp cloth
after eat
or w/o eating, btwn feedings
spit up
happy after wards
as he grew it changed a little
no spit up so much
his throwing up after smelled something disgusting to him
airplane, servd sandwich with burned toast, didnt smell good to him
one bite threw up everywhere
but it happened freq 3-4 x month
all food at dinner
nauseous
spinning around, dancing
in car
want to throw up
after brkfast run to bathroom as if would throw up, sometimes throw up someitmes gag
always felt better after throwing up
always wantd to throw up
evan:
things smell really bad ot me
then I am just going to throw up
even if container is empty I could smell what was in it
if it was pb I could smell it
like hamburger, chicken, balogna, all kinds of meat
mustard mayo
fav soups is top ramen
if I eat tiny bit of sausage , shiver up spine, then I just have to cough
I would have to smell around so I know them [new ppl]

mom
I know he was a picky eat
ALWAYS smell his food before he'd eat
always had to have [over year 1.5 yrs] for lunch
one slice bread w/mayo and slice of cheese
so picky
if didn't smell good, wouldn't touch it

kid
if it smells bad to me I shouldn't eat it
makes stomach feel like I'm going to throw up
mom put flavored chapstick under nose to keep me from throwing up
- orange or strawberry


mom
we didn't notice until 7yrs old
very conscious of what was around him
specific abt what clothes felt like
tags in clothes wanted off
likes things to be crisp and sharp llooking
no wrinkles
texture impt, how it felt
blankets had to be soft
very observant of texture
colors too, very observant
loves colors, talks about them a lot
if he stares at something long enough one eye will see one color and other eye will see another color
colors around me are grayish now"

kid
if I stare things too long, color will fade away
if I blink color comes back
look at it more, then color would go away again [goes into grey scale, like b/w tv]

* stimulation threshold is VERY low- color, smell, texture

sheet soft, white and fluffy blanket on top

mom
i can only remember we were in a certain prog in home school
he was supposed to do tumbling/spinning
could only do 1-2 somersaults- then room was spinning, nauseated
log rolling - dizzy room spinning
sensitive to sounds
airplane too low- cover ears
same fire truck
still today its a problem
shiver goes up spine from dry eraser on countertop or chalk on chalkboard
I didn't notice balance thing until he learned to ride bike at 7
he didn't have desire to ride earlier
he'd try with training wheels, come back saying he didn't feel very good
trying to balance like this [bent at angle]
put seat so he touched ground , so feet touched ground and he wouldn't panic
didn't know it was something we really needed to work on
he couldn't balance, needed help

kid
I'm just trying to pract. riding bicycle, kept falling off
bike fell straight on me, but didn't hurt, picked it up and tried it again, then I quit
I used to ride bikes with training wheels
my dad took them off so I couldn't even balance
I had to have something off to the sides to balance

mom
his endurance level
couldn't walk a block- had to then lie down on couch exhausted for an hour

kid
stayed in at recess to help my teacher
Im 7 yrs old
I usually get tired staying outside, come in to play on computer

mom
kind of a cloud over him, a gloom about him
only thing that makes him smile or laugh is older brother Ethan
deep laugh- didn' thear it very often
yes as baby not when older
gloom
this gloom turned into he didn't want to be with other ppl, other kids his age, rather be alone, do things his way, stay in watch movie/comp/gameboy than be with other ppl
he told us his standards are so high for how he wants other ppl to be, if they don't meet standards he won't take time to be with them
rahter be alone
so sad
friends would come over, he'd say hi and that was it- wouldn't interact
we wanted him to have friends, know other ppl

kid
I don't have a true best friend
I don't meet that much ppl that can be a friend

* Gens, particular, obsessive - if this were a rubric it'd be him- his sensitivies are extreme and run through all of him.
* Neurological system affinity, and GI system affinity

if the day's not going anywhere I just sit and feel really gloomy

* is this depression of spirit, or just fatigue?

I just don't feel that happy
game went off comp and then I felt really gloomy and sad, didn't feel like setting it back up
I like doing things right
I like knowing how things need to be, the right way to do things
so things never get out of order
so I wouldn't get an F minus and would get an A+

* uncomfortable when things are ill-defined

I wanted to be friends iwth ppl, they didn't wnat to be friends with me
there are some bullies they swear and spray paint walls
they get in trouble ever day at school
I am looking for friends that arent like that but there are none
1 out of 100 chance that I'll find a friend

mom
I'll always find him with a blanket wrapped around him
always cold
had to wear something warm
lieks everything covered
likes to wrap up in something
eaven eating or going on the couch
wraps in blanket before going to bed
morning blanket off
arms are pulled inside holes of shirt in morning
wakes up uncovered

kid
usually I get really cold
if I'm diong things like sitting around I should have a blanket
wear heavy things when going out
it's hard for me to go to sleep
usually I would close my eyes and try to go to sleep
and just fall asleep
but it doesn't work
.................

Sunday 04.26.09

4/26/09 Saturday Karen Allen

Monday May 18th 10am tour to see original Organon in SF - after May class weekend

Avian flu conference 4 from US, also Canada, Int'l conference. Karen and Richard Hilton- head of CA homeopathic group. Held in Paris. German, French,  Portuguese, etc.

Look for Richard article in CA Homeopath about bird flu. Discussed politics, therapeutics, etc.

Ossicocc. and Rhus-tox

Read: Borland's influenza article for relevant information - get all remedies in 30-200-1M-10M

Order 3-4 boxes of Osicocc. with 5 unit doses- don't have to take whole vial and also order Thymuline.

Take 1x per week Osicocc per person, if you get anything, take it again.

Elderly - take Thymuline 9C, is a wonderful support for elderly or those with history of bronchitis or pneumonia or respiratory weakness 1x per day as prophylaxis. In addition to 1x per week Ossic.

NCH epidemic tracker on website - check there for data

Epidemics going from animal to human not such a risk. When it moves human to human it's much more serious. Although often it can move from a human to a human and a person's body might just shut the bug down- or they can get sick.

Every major pandemic has been preceded by other types of disruption- war, seismic activity or weather changes. We have all of those things right now.  Theory is that these things create stress on humans as a whole, opening the way for great illness. Those on constitutionals are in much better shape.

Mexico is forcibly treating people right now- understandable in a political point of view, but isn't great from homeopathic view point.

We can do a lot to stop fear- that is of great benefit. We can offer information, assurance, concrete advice.

We can Empower people by giving them concrete examples of what they can do.

Standard thing for elderly or compromised- take Ossic 200C or Influenzium 9C (?) once per month throughout the winter.

Swine flu- bronchial flu, no GI stuff. Fever, coughing, fatigue and headache.

Take Vitamin C in 1000mg. Get sleep, rest. Wash hands. Avoid crowded places.

DO NOT TAKE ASPIRIN
-> Reye's syndrome
-> Can take Tylenol or Ibuprofen, but this alters the symptoms and make it much more diff. to treat homeopathically
.............................................

Case work: Review of Concepts

What are your objectives?
case work:

- a well taken case: get the full story from the client, tell me more, what about that? write down everything in your own words, review of body systems, find out sensation/time/location/etiologies/modalities, shoulder pain- is it in joint, cartilage, muscle? you have to ask to determine real location, ask who would they be as a robustly healthy person, set expectations, prioritize goals, conclusion: F/U after 3wks, phone call 5 days after taking remedy, phone call after next period [if relevant]

- a clear agreement with client - costs, follow ups and procedures. See KA's website for consultation agreement form. Fees and guidelines, payment info.  Missed appt costs full payment- also if KA misses or changes an appt w/in 24hrs the client gets a free appointment credit. Interim support definition [phone support]. Phone call in diff. than acute appointment [15-20min]. Email contact vs. phone contact.

? can you take vacation? Yes, by all means. Have someone cover you. Make sure your clients know they can call someone else. You are not indispensable and your clients should know that- although they will prefer you. They may wait until you get back. You can also leave your contact info with your cover homeopath for real emergencies.

Compass software can download a report for clients you can email to others.
Important to set personal boundaries: personal phone line vs. office line- very clear rules about when to call, and when not to. Be CLEAR about what is appropriate for them. For your own sake, your own mental health, it is crucial to do this. Your clients don't care if you're miserable or if they are inconvenient- which is why it is your DUTY to yourself to establish good boundaries to take care of yourself. If you allow clients to invade your personal space in inappropriate ways, it is totally YOUR fault.

- FOC and follow-ups are conducted differently: FOC is getting ALL the info, F/U you get details, follow up symptoms why you gave remedy and quantify the results.

- Definition of an Action plan after FOC: remedy, adjuncts, things to monitor and record results, plan for contacting each other

Strategies for Long Term Client interactions:

Assessment for One vs. Many Consults: Like a waiter you assess your section, and make a trip out with drinks for 5 tables- multi-tasking. You can look at many consults with a client as a section, see the pattern over time. If you do not connect the follow ups then you will miss the patterns.
Strategies Evaluating Response and Symptoms: are we in dialogue w/vital force? how are symptoms changing?

Next: Wait? Change Rx or Posology? Adjunct- cranial sacral manipulation, cell salt, gemmo therapy, etc.? Referral?

Strategies for Prescription Medications: we as unlicensed practitioners never tell anyone to stop their medications. Only suggest they talk to Dr. and as they have less need for them, plan to gradually reduce dose or get off of them as symptoms diminish. Set the expectation that client will work with Dr to get off meds, but you plant idea that it would be better if they did- but DO NOT tell them to get off meds.

Client Management: Helping Clients be Satisfied? Review progress and note improvements over time.
Goal: help client be satisfied by reviewing symptoms at end of interview and noting where there is practice, regardless of whether they believe it is because of homeopathy or not. Can also suggest at end that client can take business card and refer you to friends if they think you're doing a good job. "My business grows through referrals, I appreciate your confidence in my work."

How do I face the pain and suffering of human life? How we deal with that says a lot about ourselves. At some point in some way you MUST make peace with pain and suffering, or you will not be doing yourself or your clients a service. KA: I admire the courage of the human spirit, a reverence for that. It's amazing people can go on with so many symptoms. An evil act can become an expression of illness- becomes impossible to envision a truly evil person. It builds compassion for the human race. The more you wince and look away it hurts your abilities- you must look at ugliness.

You must learn to stay present with a client no matter what you are feeling- at that point if you pull away or cough or whatever you will be telling the client that you cannot be a witness to their pain. You must choose to stay present, learn to write and be present and not pull away, not descend into your emotions. Are you strong enough to look at ugliness? Can you find that strength or build it? Can you look at it and not take it on? Experience will help with this, at first it will hit you as a ton of bricks and you will go home and cry.

Counseling training will help. Also, we have the tools to relieve suffering, no matter how great. People can make peace with their past- and you can aid that.

It is a GIFT to really just BE there with someone in their pain. To allow them to share their pain, and to be a container for it. All you have to do is listen and not judge. You can assess without putting a value on the thing.

? Should you take a breka from practice when your e in great pain and suffering? Depends on how you react to the pain. You wont be be able to hear your clients if they have same pain. Often your pain doesn't preclude you from being a good listener and researcher.

KA: If you're in disrepair of

READ: the consolation of boethius

Idea: can treat pets, and plants even with remedies!

...............................
PRECAUTIONS
Heart problems, arrhythmias, pace maker, heart murmur, hole in heart, tachycardia, atrial fib, etc. - NEVER give Tuberculinum

Implants, fake body parts- dental, pins in legs/arms/etc., piercings, Indurated tubercle [like in a lung]- body has walled off something, breast nodule, pace maker - NEVER give Silica

Severe Asthma [anyone who has been hospitalized or been in an oxygen tent] - Sulpher, very psoric, will put them in crisis, anything over 30C- can work up to 30C from very low potencies
................................

Video case: Stewart
two complaints: memory issues and reading, urinary tract, chronic hoarseness

feel necc to be here now
prob on stage I feel best, ppl focused on me, that's what impt
when I'm not on stage things slow down, take time
I can be on top of the world for days, haivng fun, feel great, entertaining women
then I get to crash pt
when it's good it's great when bad I fall to pieces
I can't live with that

I don't feel I'm myself when not on stage
any time delay, we aren't performing in a # of days
despondent
concerns me
am I losing my mind?
perf too much? can't perf. too much- that's what it's about, ppl have to hear me, my public
I rem. when this all began, in a pub everyone sings
someone plays and I sang with it, and friends said I s/be in a band
everyone focused on me for a moment, clapping and cheering
this is what it's all about , this is where I need to be
defining moment in my life

music, ppl who listen to it or perform it, it's a passionate thing,a religious thing
I'm a high priest of music
time capsules into past and future, all around us, a lang that everyone speaks
must start day w/music, w/o it feels like mausoleum
music calms the savage beast
it helps you express yourself- cheery or sad/melan. music

ppl don't know how to express themselves
that's what matters to me- to be the aid
musical healer- meets them where they are at and lifts them
believe it's a very impt aspect of creativity- songs

feeling you get when your ctr of attention, they are beaming at you, like you're God in the flesh
almost ejaculated
ecstatic feeling
girls want to be w/you , men want to be you
even when visiting friends, not on stage, girls drag me into bathroom, want me to spend time with them
this is what I was born for
I have a purpose, my public, must perform, they need me
it's impt to be my best, my voice
as long as who I am, I'm there, I feel the magic when I walk into the room, now the party can be in- makes sense I was born to be this

whole emotional rush
music, feel of power of drums, bass, guitar
amplification of voice
music is coming out
feel the POWER
can move mountains
I'm so UP
so amped UP
everything is Excelerated
feel like SuperMan
I'm on it
feel such a surge of POWER

it's not the same if I'm an avg bloke moving down the street
this lasts for a time it's not the same if I'm not there, the music, that's what seems to be essential, to be in that place
if I could only stay there constantly, a 24/7day a week show

even so, after these gigs I feel energized
takes time to settle down, be mortal
sex drive even early on bit of a fling with step-sisters
once I found out about beautiful orgasms, fantasize
now who needs to masturbate? endless supply of gorgeous new women who want to throw their bodies at you

* what is Normal for a Rock Star? normal means being grounded, you're still a person, you walk still put your pants on in the morning, family members who tell you truth- this guy is not grounded at all

wonderful to be able to have sex and feel like a king
another way to express yourself- a musical instrument in a body

sex, drugs and rock and roll
gt musicians got lost in drugs, they are weaker persons
I'm the user not the Used
I'll have a bit of ecstasy now and then, won't hurt you, just use moderation
have friends who didn't know where to draw the line- why they're not here
sometimes I wonder, but that's another story

I enjoy it at times
another generation would enjoy alcohol
What concerns me more than being deliriously intoxicated
my throat is hoarse [smoking marijuana]

* uses ecstacy, cocaine and marijuana

I'm finding it's ailing more than I'd like
seems like my voice is changing
when I'm on stage I'm screaming, doesn't matter
matters when you're recording, must be very specific- it matters
get the clear tones
if I smoked a lot of pot
now I'm not even doing it as much and I still tend to get this hoarseness
gives me cause for concern, no desire for that
there are points I don't smoke at all and yet there's still this fatigue as if I'd been singing for hours

* Stannum- weakness in throat from talking, hollow feeling in chest, fatigue in the throat
* this is not a Stannum case! easy to go down that path

I don't read much, even growing up
dad was busy working
hard to stay with it, even with pictures
ext. diff- things run tog.
for instance have to have someone speak the lyrics to me
can't read them
can read music, the notes
really discouraging to me, seems to be worse
even writing, get frustrated
letters mush tog.
concerning to say the least
sometimes there's sleeplessness and things
exacerbated by that
I don't read
quite embarrassed to even be seen scribbling a note to him

* public self, but hiding unacceptable part that cannot read- is embarrassed

I'm concentrating as hard as poss.
the effort makes my eyes burn
burning
really diff. situations
don't want to read
really horrible I have sessions of on the road you meet planes, be here at X time
stretches of sleeplessness
at times I could be in a dream
I feel like I see myself aware of how I am in the dream
and then I wake up, go about business
see gorgeous bird dead for 3 mo's
am I awake?

* dreams he wakes up, makes him distrust his reality
* never sure if he's awake or dreaming

this is coming on more freq.
I've even asked , excuse me is this a dream? what are you talking about?
it doesn't feel like a dream, but know it isn't real
it's a bit alarming
is something that is recurring
day to day, wondering am I here? am I laying down?
rare occasions where I get sustained sleep, am alone
I find takes long time to get relaxed to drift into lala land
bits of muscles twitching, spasming, wide awake
this is not the sort of lifestyle you want to have
jerking about as you go to slumber
annoying
doesn't help my voice
not getting enough sleep
jerking

exceed. diff run out on stage, run for boom mike
reach for mike and it smacks me in head

* lost ability to do spacial perception

go through life, grab for it
driving, notice it, it's very disorienting
suddenly This isn't Right
things like Jurassic park- things closer than they appear
doesn't feel right

most dist. seem to have to constantly lose water
I pee, can get done, have to go again
it burns
antibiotics, urinary tract thing
seems like it's done and it's not, continues
I'm healthy, lots of exercise
this is not pleasant
Constantly have to go, doesn't cease
painful, burning
...............................
 Find Pattern

sleeplessness, fatigue, spacial disorientation
unable to distinguish reality from dream
gonorrh - frequent urination, and stinging/burning
unable to read words - burning eyes from effort
hoarseness in throat as if he'd been singing for hours
ecstasy- blurred vision, overconfidence
despondent when not stage
high when on stage
hoarseness< sleeplessness

Sleep, Restless, twitching of limbs 1247
Eye, Pain, burning, while writing 254
Throat, Roughness, talking, from 466
Larynx and Trachea, Voice hoarseness, talking from p760
Vision, run together letters 283
Mind, Delusions, dreaming when awake imagines himself p24
Mind, Distance, inaccurate judge of p37
Mind, Delusion, Christ thinks himself to be p22
Mind, Delusions, emperor, thought himself to be p24
Bladder, Inflammation p646
Mind, dream as if in a p 37
Bladder, Urination, frequent 658

Cannibis Indica - intense exaltation, exaggeration of time and space, grandiosity

uncompensated symptom: bleak childhood, no one pays attention to me
compensated: being famous fills no-one-loves me hole
decompensated: effects of celebrity

con - no
rhus t - no

staph - urinary tract issues, sexual sins and excesses, mind: violent outbursts of passion, very sensitive to what others say about him, heat in eyeballs dims spectacles??, burning in urethra, freq. urination

caust - night restless, weakness i vocal cords, and bladder, larynx sore, diff of voice of singers

kali-bi - air passages, liver,  blurred vision, throat dry /rough, burning in urethra, drop which cannot be expelled, voice hoarse

arg-n -inflamm of throat, errors of perception in mind, blurred vision, unable to keep eyes fixed steadily, raw throat, urethra inflammed w/pain, burning,  sleepless

nux-m - no

stram- ceaseless talking,

KA: Gave 1M of Cann-i, was compensated remedy- felt a lot better, later gave other remedy as older symptoms arose.
........................................

Diagnosis: what is common
State: what is unique

........................................
Repertory Olympics

........................................

Discuss homework: Carl's case
Cheladonium
[I picked Lyc and Belladonna]
........................................

Complementary Acute remedies:

Nat-m has Apis acutes
Staph has Coloc acutes
Calcarea has Belladonna acutes
Pulsatilla has Sulpher acutes

Staph - get pregnant easily, often when relationships are about to break up, a way to hold onto a relationship
- attach almost immed. to other ppl, clingy, set up for abuse, stay in bad relationships until they run away
- unempowered, passive - the more passive, the more their adaptation is damaging to their vital force

Determining level of abuse: ask if there was any hospitalization

Saturday 04.25.09

4/25/09 Saturday Lynn Amara

'Healing is not for the faint of heart' - Karen Allen

Kidney stones and bacteria in Urine discussion

Home analysis - urinalysis
clear cup
catch some urine
observe
what color is it?
is it cloudy or crystalline clear?
foam?
particles?
is it not yellow color range? brown? red? green? = red flags
[unless you ate beets]
smell it
- acrid and pungent = pee on a radiator smell
- fruity = sugar in the urine, bad sign, often diabetes
- putrid = like something died, gag reflex
- violets = sign of diabetes

*google = auto urine therapy
* if you body is reacting to something with cortisone and you drink your own urine it's drinking body-made cortisol which can be good for you- traditional treatment for eczema
* middle of the flow is the most sterile
* in an outdoors emergency fresh urine is best for burns

cloudy-
two main possibilities
* bacteria
* sediment which is part of trying to pass a kidney stone

cloudy test = add clear white vinegar
[can also do with crystalline clear urine as there might be minute particles you cannot see]
* this participates out sediment by adding vinegar
* you will be able to see the sediment at bottom of cup
** Most common sediment for kidney stone is 'oxylate of lime'
* more kidney stones in pure vegetarians than anyone else from eating a lot of dark chocolate and leafy greens, as these are foods high in oxylates
* puffy / puffiness below the eye is a common symptom for kidney stones

* phosphates are another type of stones in urine
* Dr.'s used to collect them, not much any more
* pee through a strainer
* urologists give out cheesecloth funnels, or fine plastic mesh

* if after adding vinegar it's still cloudy you have bacteria!
* if it goes from cloudy to clear with sediment from adding vinegar it's some kind of stones
* plus a fever = kidney infection
* low level can be treated
* even if they are passing a stone you can treat
* kidney stones are one of the TOP three pains in life
-- bone pain of cancer
-- third degree burns
---- FAR beyond childbirth
* going to ER for kidney stones= heavy duty pain killers which may not even work
* homeopathy can help relax the ureter so the stone can get to the bladder- the pain from the ureter is what is excruciating
* lithotripsy - sound blast to break it up, but pieces are still jagged, sort of like passing glass
* Children kidney stones - often caused by emotional trauma from new kids in house, seat of emotional jealousy

Cystitis
Top four therapeutically recommended remedies are
1) Puls
2) Canth
3) Apis
4) Berberis
5) Lyc
6) Sarsparilla

Bladder Catarrh is the state before inflammation starts
Bladder is the Other end of the Sinuses

Puls/ Lyc also get sinus infections easily- which is why they are popular options for catarrh and inflammation

Bladder Pain
* where is it? we'll be getting a flowchart
* when is it?
- if pain is all the time, throbbing & full in bladder - very helpful to know
- before urination/ during/ only at the end?
- a time after when there's a spasm when you're done [tenesmus] - you can feel this in your urethra, your rectum - the pain rivets you to the ground, it's a spasm that goes straight UP, after the urination is completed [Bladder, Tenesmus]
- Bladder, Urination - for bladder infections
- bladder infections may become a kidney infection
* what is it like?

Kidney Infections
- Can be separate from Bladder infections, some people get them regularly
- Some people are susceptible to these pathogens, not a good situation
- Kidney pain
-- general pain

-- pain in the ureters, going up into the kidney
- One sided pain symptoms are very helpful
- Kidneys are located on back above ribs- often mistaken for back pain
- Hypochodriac - hypo below the ribs, pain below ribs- many many organs there, people thought they were complaining unduly but in truth it was because of lack of understanding of how many things can go wrong in that area below the ribs front/back - kidney, ureters, bladder, uterus, etc.
- Trigonitis - you may not be able to determine this without lab work diagnosis. squamous cell build up in the bladder

Urine
* Urine, bloody
* Urine, scanty
* These all have big rubrics, which means they are common. It makes the sub-rubrics much more valuable.
* Urine, Sediment - albuminous from protein in the urine, would get from a lab report. People typically won't know about sediment as they don't typically collect urine.

* People confined to wheelchairs, or who use catheters often get recurrent bladder infections. E-coli often travels through the catheter creating recurrent infections. Often treated with anti-biotics. Eventually people create their own brand of pathogen. You can then create an auto-nosode, creating their own remedy. People are not always willing - but pain is a big motivator. We will get a handout on making auto-nosodes.
* Homeopathic e-coli, stapholococc., etc.

* Urine is brown - sign of hepatitis or copper poisoning
* B12 or EmergenC causes bright yellow urine
* Green urine - gall bladder, an excess of B vitamins
* Blue urine - pseudomonas bacterial infection, or hyper calcium levels
* Purple urine- porphyria
* Reddish red urine - blood in urine, food coloring from candy, etc., eating beets
Acidic urine will turn red after blackberries
alkaline urine will look red after eating rhubarb
Lead or mercury poisoning can cause red urine

Bladder infection
* Lynn: one of the most common etiologies for bladder infection is not having an orgasm during sex
* Not releasing the blood [tumescence] in women keeps the 'stagnant blood' near the bladder. Congestion of blood in pelvic region changes the pH which is the perfect environment for the bacteria to cause an infection.

jealous in kidneys
irritation and anger somatize into bladder
bladder problems that don't have problems with expression go to kidneys - rage
gallbladder [Lynn] source of gall and rage
liver - seat of melancholy [suppressed anger]

Read Edward Whitmont - Psych and.....

UTI treatments - see Lynn's handout
cranberries allow e-coli to be shed from the walls of the bladder more easily, washing it away with urine
D-mannose is a new treatment that works same as / better than cranberries

Case of the Peeing blood
- 1st and 2nd remedy choice with three reasons why
Urination, Frequent 657
Bladder, Pain, urinating, after a few drops pass / after
Bladder, Pain, smarting 649
Urethra, Pain, stinging 677
CHILL, Chilliness, urination during/after

apis
bov
cann-s - good second choice
crig
sars  - << close of urination, painful urination, , blood in urine
staph - stinging pain, < after urinating
thur

ACUTE treatment:
*4-6 hours, if no change then go to # 2, maximum wait is 8 hours - LA
* take every 5-15 min - rapid dose, know in 30-45 min if there's change - KA
............................

Case of the Pain beyond Pain
Kidney stone
- previously treated for: anxiety, crural neuralgia and erectile dysfunction
- vomiting from pain
- Pain, R side back

>> Followed flow chart to find Ocimum p124, cured kidney stone pain, ED, anxiety and crural neuralgia

Spasms from pain
* Cautionary tale : puffiness under eyes is key for kidney stones, often half-glasses will cover this symptom, is important to have people take off their glasses to see their full face

.......................................................
LA: 80% of acutes are acute exacerbations of chronic complaints
True acutes are things like accidents or hangovers
However, you can make a case that you are in a 'state' of accidents- where they fall, break things, bruise themselves - and given a new remedy this trait might go away

Marny- hit head twice in two days after a remedy
Connie- got two tickets in a couple of days after a remedy
Ideas:
Ian Watson - spiritual take on remedies, might say that your head chakra is trying to align itself if you hit your head a lot after a remedy - different perspective
LA: or you may be having a slight slip of unconsciousness if you are repeatedly hitting your head
KA: it alters your state, it might be a lapse of consciousness, and that is related to your state, your constitution
LA: if you have an accident on a particular part it is put out of whack, and makes you much more prone to hit/trauma same part over and over until they re-align or re-integrate that part into balance
Jilda: hand injuries from same door way in house you've lived @ 30 yrs, you don't even feel the injured part after some amount of time

Acute or Chronic: have you EVER had X before?
If Y, not acute
that doesn't mean you can treat it acutely, at least for now
it could be a microcosm of the person's entire state, treating that acutely could function as a constitutional treatment

Hahnemann - you give the best remedy you can, and what comes back to you should become clearer
KA: Are we in dialogue w/vital force? It's supposed to be a conversation

.....................
Case of the Burning Sex Drive

Came on after prolonged sex with a new partner
frequent urgent situation
hot, burning sensation, worse at the end of urination

Cantharis - Spanish fly, this person got themselves into an inflamed state from repeated sex with new person, same as Spanish fly. There is a wanting to be engaged in the activity, as opposed to Staphysagria where there is a feeling of opposition or conflict to the activity [cheating, wrong person, religious beliefs, some sort of conflicted feeling in the act].

Staphysagria has an affinity to urinary tract and to reproductive system. There are other remedies that also have sexual-psycho components, like Lilium tigronum, but they aren't affiliated with the urinary tract - Lilium would go to the heart, for example.

Sex is a concomitant in conjunction with urinary tract issues in Cantharis and Staphysagria.

LA: There are a few remedies that many many women feel an affinity for- like staphysagria and ignatia. It can be over done, and can also be helpful.

Staphysagria is an excellent remedy for rape and sodomy, or a pap exam that feels like an assault- feels untoward. If it is experienced that way, a person can get in this state.

LA: Staphysagria is an 'injustices of the world' remedy
......................
Case of the Hot Scanty Pee

23yr old woman. Prev: constipation, neck pain, anxiety

Now: urine is hot burning
strong smelling urine
* little passed
worse in morning
bleeding hemorrhoids, itching and burning after stool
sleep restless
* thinking a lot in sleep
her energy is low at 3pm
* feels tense jumpy and irritable when tired
clumsy
jaw is tense
started after cross country drive with heat and seatbelt constriction
urinalysis and renal profile were normal for patient

LA: Lab reports can be pre-clinical- person is suffering but lab doesn't show [yet] what is going on

LA: Acute cases are so close to allopathy we do sometimes pay attention to common symptoms, but it's much better to hang case on characteristic symptoms.

Thinking in sleep is an 'eliminative symptom' in guiding your choice of a remedy- you wouldn't want to pick something that is NOT restless/thinking a lot - not a calm remedy. She is agitated and fatigued.

Extremities, Awkwardness, hands

nux v - sleeping, sleepless rush ideas, ineffectual painful urging to urinate, paralysis of bladder, head vertigo momentary loss of consciousness, constipation, worse from a seat - sedentary etiology

1) apis: inflamm bladder, burning itching, < heat, vertigo, anus sore hemorrhage, burning uringation, urine scanty, awkwardness, clumsy

merc - hurried in speech, vertigo, scanty urine, burning after urine, itching < urination in women

staph -

2) canth - hot, irritation, scanty urine, restless

LA: 1 & 2 are both insects and are both irritable

Reframing: critical thinking skill, when there is an issue that has to do with the urinary tract system, it's good if you can justify the choice of remedy that are specific to the acute difficulty. If person had neck pain in the past, the tense jaw this person had was less important. This is a natural brain process to see the old problems as being relevant a lot if we see it in a remedy. But we should pay MORE attention to the symptoms that are related to the complaint. 

Apis pattern: hot, drops things, urine retention, agitated

What are the boundaries of the acute? Sometimes symptoms from constitutional/past care can muddy an acute case.
..................

Case of Where There is Fire there is Smoke

woman, exhausted
10 day vision quest
hurt in back after pee
chill right after I pee - so cold it hurts
black and puffy under eyes
wake up tired - dream I can't wake up and am I'm fighting to wake up
hot prickly sensation hot flashes
not thirsty
middle of night have to drink a lot of cold water
don't want to eat, but craves chocolate

acute exacerbation of chronic- kidney infection has obliterated her yeast infections

common: exhaustion, pain in back, pain over kidneys, terrible chill after peeing

* physiological process- big swings of temperature with an infectious process, body is trying to cope sending out both big hot and cold symptoms. Intensity of temperature changes along with foul discharges signal need serious medical care.
* Not extreme pain but temperature variability that is wrong, vital force is retreating from that place- not a good sign.
..............
* EX: Flu that went into kidney failure- not a lot of pain, but with fever the pulse was LOW- should be the opposite.
..............
fever = bounding pulse
chill = low pulse
Any opposite signals organ failures, or some other super serious problem
.............

This case has a real sense of heaviness

Classic Platina acute exacerbation pattern:
Plat : love smoking cigarettes, chronic yeast infections, love touch, sense of heaviness, vision sees people as tiny

..................................................................................................................

Afternoon class

The cost of adaptation - when people get ill they get ill in different ways, some adaptations are more expensive then others- more or less cost to the body.

video: Daniel
13-14 yrs. Russian parents, knew Russian first, learned Eng in pre-school, stopped speaking and then began having neurological problems

Discuss adaptations
This boy has many adaptations to his symptoms.

Vithoulkas - the body always has a choice as to which system your symptoms appear [p24 on Science of Homeopathy]

Physical scale
Skin -> Muscle -> Bone -> Kidneys -> Lungs -> Liver -> Endocrine function
things you only have one of : heart, brain

Emotional scale
dissatisfaction> irritability> phobias> suicidal

Mental scale
absent minded forgetful, lack of concentration, dullness and lethargy, weird ideas/delusions/paranoia/destructive delirium > dementia, Alzheimer's

Every person has strengths and susceptibilities. When presented with trauma, each person reacts differently based on their economy- on physical, mental, emotional levels. The body lets go of the functionality of something in order to preserve the total economy- it sacrifices parts of itself, to preserve what is most needed.

EX: In shock the blood goes to the torso, body can lose fingers, etc. and it doesn't matter- blood goes to preserve that which you cannot do without, the inner organs.

Body has to find a new state of equilibrium. It chooses it's next best position.

What is the cost to the organism of the adaptation?

When someone has a mental/emotional cost or a functional disturbance, these tend to be less costly to the organism than organic tissue change.

Sometimes what is happening on the mental plane is also happening on the physical plane, sometimes not. I asked about how the three planes related in severity- would a suicidal person have acne?

ex: urinary tract problems flooding of emotions
ex: rigid stiff body with an inflexible mental state

Problems often somatize to particular places in body.

Knees:  If you can't move forward in your life, you are likely to get knee problems- keeping you from moving forward.

Thighs: Thigh problems have to do with support- they keep you up.

Lower back:  Back probs from waist down have issues in their life with being taken advantage of/ betrayed/ stabbed in back

Upper back: Upper back, sense of burden in life- Atlas holding the world.

You don't always have physical problems that are consistent with your mental state, but sometimes yes. Body workers see this a lot.

Bodies can be really healthy, with crazy mind.
Stephen Hawking has compromised body, healthy mental and emotional life.

In what way has a person adapted to what they were susceptible to that flared up?
How costly is it to the organism?

Parathyroid - source of bone spurs, around thyroid glad, excretes oxytocin [birthing babies, and milk let down], manages how body stores and moves calcium around. {discussing bone spur as an example of a tissue change, also something that you can adapt to live around as it isn't terribly limiting} Any extra calcification of body parts should make you examine the parathyroid.

When someone is getting better, their method of adaptation will become LESS costly to them. If you were agoraphobic and you become only afraid of bats at night [as opposed to never leaving the house] this is less limiting- basic susceptibility has not change but adaptation around susceptibility has changed.

When the vital force chooses a very costly adaptation, it says it doesn't have much choice. Things that kill you like blood clotting disorders. This is a very deep and costly adaptation. Much less than a local infection.

Stephanie: don't understand how a body with an organ prob [already deep] is able to fix itself with a remedy
KA: think of body as a bank with food and input as additions, and body problems as a deficit. If you add to to the body and it's able to repair itself it first stops the deficits and then starts running things increasingly more efficiently. It's like downloading a patch for an operating system.

piss-offedness somatizes to the bladder
grief to the lungs
jealousy to the kidneys

Uncompensated / Compensated / Decompensated symptoms

............................................

Video: Cat
What is her adaptation? her symptoms? how costly has it been?

well I was living in TX w/a  woman 5 yrs she had rheumatoid arthritis
never ending supply of medication
was extremely abusive
I had depression
I took pain meds to self medicate
about 150 mg a day lortabs?
after 5 yrs of that I had been w/o many times I had withdrawals, but psycho it was imposs for me to quit
methadone for pain pill prescription
they lied for me to get on prog.
260 mg a day - highest poss.

* drug addiction to pain pills
* etiology : abuse
* adaptation to abuse = take pills
* other options: too much tv, stay in bed, leave, fight back, drinking, get illness - lots of choices for adaptations

it was like $10/day
anyone in TX can start a methadone biz
I was on meth. 5 yrs
I saw Dr one time, for 5min intake
every morning see nurse - they give meth. and cont. raising dose

after 1 yr ran away to Seattle

* she removed a maintaining cause by running away from the abuse

found meth clinic in Renton
$10 /day
made $8 hr
extrem diff to handle rent, meth, gas
didn't know anyone up here
depress became worse
meth did help depress for a while

started taking klonopin also  - dangerous to take tog.
I decided I couldn't afford to do meth, started to taper down - they don't want you to be on anything else, but my depression got worse

I finally go it ok'd by getting Dr to sign release so I could take klonopin too
I got down to 150 mg /day
then I found prog DSHS where I could get meth for free, plus psych med for free in downtown Seattle
threatened to drop me from prog when I wanted to move

down to 50mg depress and anxiety through the roof
then took more of the klonopin to get rid of the anxious feeling

? Desc. that anxious feeling?
my house was a wreck

* this tells me external expression of the emotion, or she was changing the subject- she didn't have easy access to the info
* should circle this in notes - to ask again in diff. way to get more info
* what she calls anxiety may not be what you think of as anxiety
* good to explore

house is a crack den, clothes, dirty dishes
wasn't able to fxn
lost job
bed at noon, got up 4am so I could get chores done before anyone was outside
didn't want to interact w/anyone
agoraphobic
to actually do anything in home like dishes or laundry would cause gt anxiety
hyperventilate
went to hosp with panic attacks
very overwhelm. to do anything except sleep and tv
I was taking classes at highline for mental depress and violence, art class
but I found a lot of reasons not to go
imposs. for me to get out and do stuff during day

in the past dep. on pain pills- they were like speed
gave me lot of energy
didn't work or interact w/ppl but i was out every day doing something
coming off of meth. , the klon. was a down for me- putting me to sleep, exhuasting
didn't have energy, didn't eat
down to 90lbs @ 5'10"
anemic

100's of ppl at clinic and only 2-3 getting off it
1 person below 10mg, took her months to go down 1 mg at a time
fill head with fear, make you believe you'll be on meth for rest of life
and if you can't pay the $ they'll drop you to 35mg to make you suffer the pain of withdrawal so you'll do anything to get that $
they treat you like you're in jail
you're a cow in their pasture
it's a money making thing

when I got down to 50mg I'd get sick
wanted to get it off

took trip to S. CA w/new husb and ran out of meth.
courtesy dosing
they scare you about never leaving town
tried to courtesy dose and clinic gave excuses, finally decided w/husb that I'd just quit because they wouldn't give me a dose
I was at 95mg
first day felt very sick= psychological
I felt like I was coming down w/cold, no worse
got back from trip, stayed in bed a couple of days- a lot of it psychological
only real symptom was leg cramps
we called hosp., went to ER for medication for leg cramps
gave me me clonodine and valium for a week
got DR to give another week supply

next 3 months under norm. energy level, short of breath, little queasy, little vision blurred, hard to go up steep hills
got off it quite easily
excited to tell ppl at clinic I got off it
they didn't believe it

I'm so glad now to be over with that, to be done with that
want to write book methadon't
easier to get off reg. drug itself than to get off of meth
it's just like being a heroin addict
have to get dose, go downtown, be there cert. time, have your money, stand in line- it's a terrible way to live

talk to me about the PTSD thing- diff abusive relationship

it was my 4th abusive relationship
even though DA was gt guy as older guy, as a child he was alcoholic
he wasn't physically abusive
I was scared to death of him
when I left home, ran away 17
lived streets 3 yrs
violent physically abusive man, had child
moved in with parents
married man - also abusive, stayed another year
then left
dec'd I was gay, seeing women
7-8 relationships didn't work out
finally ended up with one, thought I was happy, then she was abusive too
lost house, lost 50k job, son moved out with me- he's on streets as a drug addict
she was scary violent, beat, went to hosp.

PTSD class was very helpful to me, did real well with that
domestic violence class learned about self esteem, saying no- still in there even though I'm in a good relat. now
I'm still very interested in interaction, learning to communicate

when I was 15yrs old, even though bad relat. w/DA
lvd in same place for life, in theater, soph was lead in 'West Side Story' was super star in school in Iowa
friends were seniors, i was a hotshot
DA transferred to Dallas, I was ripped out of there and put in new situation where I stuck out didn't fit in w/anyone except those who did drugs @ 16yrs old

I had this terrib. feeling that I was looking for something
I wanted someone to love me so bad
in my family no one hugged touched said I love you
never had boyfriend, never had a date
I wanted that so bad I think after I left home and became sexually active
thought if I had sex w/someone then they loved me - 10 yrs
from relationship to relat. that was bad for me

now in my life, about 4yrs back, when I got to Seattle felt like that life was over
didn't want a relat.
dec'd love wasn't something I wanted
I was ready to die
sunk into depression, waiting to die until I met Charles
he's very spiritual musical theatrical playful
motivated met to get off drugs, to get out there and meet ppl
we travel, meet ppl, help ppl- it's really changed my life

I did think about suicide a lot
read a lot of James VonPratt books- read about angels

believe if you kill yourself you don't die right then- it's not the end
couldn't do it to my family, my son
thought about it all the time
wanted to die
kept my apt. dark, no sunlight, no lights
tried not to think
constantly watched tv
tried to balance- help ppl from a distance
goal to volunteer to help someone, like tsunami victims- gave them $ I didn't have
thought a lot about helping other ppl- made me want to help myself, but didn't know how
I wrote a lot, vry therapeutic to write
I read now and it's trippy- antidepressants and klonopin, like 10 meds at once, I was on a lot of drugs!

lot of bladder probs
have to pee it would burn really bad
bladder infections
go to DR, antibiotics, go away for a bit, always come back

starting as yg child prob w/teeth
decay at tops of them
blackened in color
even when they fell out [baby teeth] adult teeth same way
did a lot of work on them, porcelain fronts

when I was a child, thought so strange parents of other kids would get divorced
my parents never argue, mom would go in bedroom and lock the door
I had no teaching on how to handle a disagreement
when something came up I'd clam up, not talk
words wouldn't come
couldn't handle confrontation
I'd go along with whatever other person said
couldn't handle decision - afraid I'd say something they didn't like
totally submissive
by myself I'd be forced to make those decisions- came more easily after by myself for a while
I let every relationship control the smallest details of my life

why didn't I leave?
I didn't think I was capable of living alone- didn't know how to support myself and child
physically fear of ppl I was with
I went from Maryland across country to get away from son's father
I was afraid of what he'd do
I pretended  Iwas nuts with one
I left once when guy was in jail
woman I was with I left to go across country
usually I ran to get out of the relationship
I didn't think a shelter was far enough or safe enough

I used to go to sleep at noon during day
time when I would sleep for the night
after 8 hrs I'd wake up and all night I'd be up
I'd lie to Drs say I couldn't sleep
they gave me trazedone , sleep at noon, take trazedone at night to sleep - slept most of the time

I think I'm allergic to tobacco smoke
even slightest bit drives me crazy
can't breath
eyes watery, running
throat closing up
I constantly swallow

cough- throat closing up so much I wanted to throw up
getting worse last 2 mo's
prednasone and flonase spray for 2 mo's
then sent me to ENT specialist

Define pattern, rubric set

depression, abusive relationships,  sleeping during day, worse from ppl, isolation, running away, anxiety, panic attacks
hyperventilate, PTSD, fear
wanting to die, wanting to volunteer, unable to confront/indecisive

black teeth, caries on top
bladder infections, burning urination, recurrent
tobacco: can't breath, watery eyes, throat closing up
constant swallowing

ailments from abuse, wanting love, submissive personality, aphasia [inability to speak] during confrontations, recurrent bladder infections, blackened teeth, allergic tobacco, runs away, frequent swallowing, promiscuous

Mind, Aphasia p9
Throat, Swallow, constant disposition to p467
Gen, Tobacco, agg 1407
Teeth, discolor black
Bladder, Inflammation p647
Mind, Suicidal disposition, thoughts p85
Mind, Weary of life p92
MInd, Escape to run away
Teeth, caries, predisposition to in children

1) staph- bladder, sexual conflict, black teeth
2) ign -

* Funny  as Lynn Amara mentioned this morning that most common women's ailments remedies are Staph and Ign!

Colocynthis somatizes to gut , if Colocynthis is Acute then Staph may be the Constitutional - there is a complementary relationship between these two remedies.

READ tutorials on homeopathy- Foubister, Frank

Folliculinum - women who are doormats

* In cases with a lack of clear definition of self, and a history of abuse, consider these remedies: Staphysagria, Pulsatilla, Folliculinum, Carcinosin
* gave her daily dose- good for people on other drugs [she's on prednasone & flonase]

* Theme- she wanted attention she didn' t get at home as a kid, already in a Staphysagria state as a kid [black teeth], did well getting it at school in theater, then she moved and more costly adaptation when she went to TX taking drugs/sex/beat up/run away, etc. Later got into more abusive stuff, vital force had even more costly adaptation after she took drugs.

Sunday 03.15.09

03.15.09 Sunday
Karen Allen
Sunday class with Karen Allen

NANHE - North American Association of Homeopathic Educators

Today's topic: ailments from acute grief, trauma, fright

MIND, Fright, complaints from
MIND, Grief

GRIEF
AUR - sinus infections, suicidal from grief
Coloc- bends double from grief
Graph - overworked and stasis mode, blog stagnated (Richard)
Ign - intense emotional turmoil
lach -
lact - from salad (!), psychedelic drug remedy, disassociation from grief
lyc- event bumps person off their track, issues of self-confidence

- every remedy will have a diff posture with grief (or any symptom)
- every remedy has a diff reason for being in any MM
- every remedy state experiences grief (or anything) in it's own way

- he (Martin from video) adopted a posture in the world after the death of his parents that looked like lyc, but he was most likely in the posture prior to that event
- no events like 'rape' are in the books, because it's all about HOW people react to those events

Fear is more of an element of Lyc than Grief, which is why it's bold in Fright rubric, italic in Grief rubric
- this is at the core of Martin's case

- Gave Martin 200C of Lyc

LYCOPODIUM
- Etiologies: ailments from anticipation, fright, grief with Lyc
- Lyc common remedy for impotence - it often starts with an event where he couldn't perform, now has stress and fear- Lyc has anticipatory anxiety, dread, fear, which shuts down blood flow- which compounds impotence prob
- bronchitis, pleurisy, liver remedy
- Lyc and cheladonium are for liver
- R sided kidney infections
- R sided ear infections in fearful children
- Dyslexia in boys- big remedy
- Very R sided

Polychrest - applies to ALL of the diff. miasms

Lachesis - Very L sided

Martin follow up video
?'s obstacles to cure?
how are you doing? is anything diff? any acute illnesses
how are your skin and eyes?dryness
rabbit pellet stools?
how are you feeling? despair- suicidal thoughts
still exp. abdominal bloating?
how are your relationships going? [how is relationship w/sister?how are things w/partner?]
how is work going? self-doubt/confidence
any dreams?
still need to occupy yourself?  busy work
How do you feel about your choices?
Do you feel more like yourself?

busy internet stuff is compensated symptom - distraction

Sensitive questions
Lynn- extreme choices when questioning about sensitive material. Are you masturbating once a month or 20x a day? do you drink once a week or 4 bottles a day? This encourages person to offer up their middle ground.
- you can also broach a subject with an intro like 'I'd like to ask you a sensitive question' if yes then you ask- if you have energy about it they can tell, if you don't then they can answer freely. If they say no you can discuss why they won't talk about it.
- easier in a follow up interview- never ask something that would break trust
- it is often a relief for the person to talk to an audience w/o judgement
- we observe, not judge- can tell person that

Follow up video with Martin
- 5 wks since took remedy
- first day or 2 after taking everything got quiet, in mind, then I started questioned it
felt numb, dead
we went on spring vac. to HI for 2 wks
interesting time
I had feelings I hadn't felt- no not acc.
I had this sense of being detached from teh world, eing isol. alone not conn. w/ppl, distrustful, not safe in world
hadn't felt that since wife cheated on me
[recurrence of old symptoms]
kind of like old things revisiting me, not too comf.
esp. for Joy in our relat.- I dist myself from her
felt need to protect myself from most ppl
sense of heightened perception, sensitivity, awareness
as if someone had an agenda around me I could sense it, know it
if they had an expectation or wanted something from me it would annoy me
I know I do that too- bug aggr. when others doing it
it wasn't quite straight, some hidden, perhaps
something off about it, didn't feel right- they were trying to wk the envir. instead of being straight
[manipulative behavior, common in LYC]
[tarent is complementary to Lyc, can partially solve it]
[he's talking about ppl not being direct, he's projecting while owning that he does it too]
[is he projecting sthg onto us as practitioners?]

paranoia time
[laugh]
very challenging and trying
wanted to be alone more than be w/ppl
to be safe in my space

[he didn't know his remedy is, some ppl that is good for, some ppl find it distressing- like Martin]

in HI we had an unexpected and beautiful vac. in a spiritual sense
spent time med. and spirt. time w/Ram Dass
calming down of other stuff, a centering part
a sweetness
there is a lack of focus
mind is very busy- more than it has been
can't focus as much as I had been

[Vithoulkas tracks responses as a wave form, ex: took remedy and mind calmed, now it's an aggr. - is it better or worse? can we tell? we need more info]
[primary response to rem. was calm, secondary rxn was aggr. of busy-ness in mind]

I haven't been sleeping well
I go to sleep, wk 2:30- to 3am
mind busy
waking coincides w/need to pee
no theme of thinking, just lots of stuff- like Charlie Brown teacher
do your taxes, conversations, just mindless chatter

I've been traveling after HI, moving around a lot, just got back
get up in morn and go for run
after chatter I just get up for the rest of the night, or I fall back asleep wk/fall asleep (30 min to 1 hr of chatter to sleep)

this happened back in early 90's
gritting teeth started again
like revisiting past- no I'm done with that! haha

Joy's sense of me was that I was gone for the first 2 wks, and that's how it felt- really disturbing
I popped out of whatever I was in
then it was 'here I am' now I can be present, I wasn't really present I guess

busy mind
emot. detachment
mental activity
started running again, that felt good
phys: cold, running nose eyes still there
[?? he didn't mention that before- take note and ask later]

dry skin still there, it was gone in HI
mental and emot. time of change, revisit. past, bringing it up- seeing things to heal and going through that process

KA: do you feel diff now after taking remedy? how are you now?
I used to be diff now Im the same haha
I feel better, I feel more like I did before I took the remedy
the hell regions- the remedy took me there, that was the exp I had for 2-3 weeks then I popped my head out from underneath and Ah! here I am

KA: Is the you that popped out from when? from first interview or earlier?
don't know
I wd say it's a little diff
mind vry active
it's inter- I want to say I wasn't as hesitant as before, but when I got here hard to knock because no one was here and I didn't want to disturb anyone
less reticence to speak my mind
whatever came up I would just blah! it was dist. smtms to ppl that I didn't censor during that time

[more communication, less reticence is there- change from last time, no mention of hopeless resignation/grief story]

I haven't thought about sense of hopeless resignation- that was the theme of the moment, about human beings in general, it affects the global community in general- ppl die and we don't do anything about it
[projection! his parents died]

[in f/u checklist give back the client's in their own words]

having opening in spirit. med. teacher said 'you didn't have to die when your parent's died' and that created another maj. opening for me
in the 2 wks I was in the hell regions there was exp. a lot of things I talked abt the first time- I set myself up to exp. that
at first I was just reacting things, then I was aware of opp. to heal instead of projecting rxns onto others

haphazard attempt at healing- I thought about attempt. to heal it and the mind would be off on something else
[the fact that he CANNOT tell me that it's the same place he was before tells me it was different]
[that's why we repeat the same question over and over- b/c we often hear diff answers to question]
[only stop when you feel person is actively working against you- STOP! you are IN your shadow, they can only be in their state and it is NOT about you]
[if you think they are being unhelpful you are being in your shadow]

I don't really know if there was a progression of healing- it was moving through things
it doesn't feel heavy on my heart
not thinking about past grief

[saying 'Time will be your friend' establishes patience and equanimity in clients]

haven't thought about burdens
I feel like I SHOULD feel guilty, but I don't feel bad, haven't thought about it, it kind of disappeared

[16 years and it's gone in 6 weeks]

it's like a subtle revitalization occurring, I can sense that
it's a sense I have that there's this life force energy coming through again
always been there, but it's a little more vibrant now

I did body work - hot hands, feeling of something moving through

I did connect w/my little sister, didn't go well, that was diff for a while
there was an expectation a picture I had of what it would look like when it healed
when I called her 2x didn't hear back, got letter back- her exp. of me was exploiting fam. and friends
it was like grappling- this is what this person perceives me to be
is it acc? is not? some yes some no
it was a cathartic process to be able to live WITH myself in that
if that's who I am to her, there's only a small chance to reconnect
it would be foolish to count on that
it resolved itself
it's ok to be the way it is, not a lot of grief around it
there WAS grief and disappointment during 2 wks, but I resolved that

not a burden like it was
not much burden now
except when I upset Joy- that feels burdensome- haha

grinding teeth during hell region time, not there now
there was a real line of demarkation on that Sunday- going into that place and coming out of it on that Sunday
I just woke up and my jaw was sore, had been chomping down

no pain in left chest, one time I noticed and then it was gone- haven't thought about it
for my mind being so busy it's inter. there's so much I haven't thought about! haha
hip pain- fell off cliff in HI just like I did before

[after TOO high a potency, it's eerie how often people recreate OLD injuries- it's evidence of aggravation]

didn't take too good care of myself
landed on R butt cheek on rock
felt it more after a week
hurt elbow and knee, kind of hurt, but it's feeling better

spot on foot, felt it more during dark time

stool symptoms went through a shift
during hell time good flow, fit my picture of a healthy stool
now it's back to the same
it was more moist in HI, less dry skin, drinking more water
now during last week I'm noticing I don't drink a lot of water during the day
back to being dry, also eating less veggies, stool came back

I haven't had any- trying to think
I rem. having ppl interactive dreams, feel good dreams
not so much foreboding
foggy rem. of moving in the woods, mostly ppl interactive dreams
no outstanding neg. dreams, left me feeling optimistic

[asking client to say what they want, who they want to be you can repeat it back- this enhances the client's buy-in, helps you be an equal partner to what they want]

want to be not in the hell regions
the only burden I'm curr. exp is when someone has an expectation for me
I've let go of expect. for myself, to a degree
delivered a book= felt uncomf. intruding on women working there

[grief is gone, responsibility issues better, this is self-confidence stuff, he is still in it, we are further on the path]

I would like that book exp. to have been better, I wd have preferred to be more open and out there with them instead of closing myself down and becoming bashful

[in some ways he is moving back into his UNCOMPENSATED state- Lyc has timidity]

last night I was more greg. and outgoing than I have been - not sure if others could see a shift in me

spiritual practice- there's a new intensity mood, want to dive into practice

rem. has made me think a lot, about this process
it does appear there was some clearing over this timeline

I've grown in appreciate to who she (Joy) is
it has been challenging with her, during hell regions she was more like past than current
in past 2 wks I've been moved about opport. to be with her, grown in apprec. of who she is, and being with her

[there is genuine emotion from him, being more avail. in their relationship- he visited a past grief w/old wife, heartbreak, and came out of it more available to his current relationship]

what I noticed was missing, there was no context created for me
not an answer but to paint a picture
warning it could shift your perception of the world and impact those ppl closest to you

['it's offering a stimulus to the vital force that each person picks up in a totally unique way'
KA used to tell ppl what she expected to happen and 99% of the time it didn't happen, or it didn't happen in that way. Good OR bad stuff happened, but in a totally unique way per person. Allopathy does this, it is coercive to set particular expectations- we garden, we engender.]

[many clients have NO memory of their first intake- which is why it's impt to give Written instructions for them to take home. He was IN his state, has no real memory of what he talked about]

Joy [girlfriend]
it was so hard to be around him
I felt like anything I said (or anyone) the rxn was 'oh, they're doing something funny, they are trying to do something'

[he regressed to an uncompensated state- he was in a state of fear, paranoia
KA: this is a clear ex. of an aggravation, I would not have given him a 200C- some ppl believe that you need a good aggrav. when giving a remedy, but this goes against the first aphorism. Some feel the person isn't healing, or will heal faster if they get an aggrav. - but there is a cost to the person, to the organism. There was data proving that there was a cost to the vital force and improvement w/o aggravations done by (X?).  You can damage ppl with homeopathy- cautionary tale of person w/IBS who was given 200C of Apis and she went to the hospital in 24hrs with morphine drip- damage was done and she never came back.  H and KA and Asiaga dont believe that an aggr. is necessary to cure- but Kent and many others DID believe it. You may still get aggravations (will) but it's something to be careful of.
Aggravations do not guarantee it's the right remedy! Ppl can go right back to their original state after an aggr. w/o improvement. Or their state can CHANGE from an aggravation. ]

F/U Questions:
are we in dialogue w/vital force? y
is the degree of limitation less than when they first came in (same better or worse)? y
is the story still the same? n
is there physical evidence of change? y

conclusion: remedy was working, no need to give any more, let's wait

2nd F/U questions to ask:
[confidence, bashful, doubt-> timidity] how is your confidence level, exp. around people?
any revisits to the hell regions? [paranoia, mistrust]
ppl with expectations of you- still a problem with that
cold weather: runny nose, eyes drip
foot?
stool?
morton's neuroma up ankle
abdominal bloating
dry skin
sleep and dreams?
level of mind activity?

12 weeks in :
popped out back in popped out back in to hell regions

[aggravations can last MONTHS]

movement in big picture
physically body is shifting energetically, less aches and pains
shrinking, not bloated , normalizing
body is getting back to a nat. state of equilibrium and balance

emotionally vascill. btw feeling numb and peaceful - distinct, been both
also emotional
most extreme is mental - oh my goodness

switch got turned on in mind
wake up early morning 3-4 not sleeping past that a lot, wake up and mid is chatterbox, constant comment, uncontrollable
thoughts everywhere
dreams very diff- scary, some frightening
being chased, accidents, bike accident me driving her pregnant we were thrown and skidded, afraid she would be injured
felt incredulous, concerned I was hurting her

[lyc state- if someone I'm resp. for gets hurt how can I deal with that
KA: this is a very deep state of the remedy, this is a very good sign]

clinic on Friday
when ppl have core issues, they often grapple with them in their sleep
on Fri we had F/U w/woman who didn't know what to do with her life
dreams of fruitless activity that wouldn't resolve her problem]

dream is resp. thing I guess
I had a dream 2 friends and I tourists going to a rest. to have dinner
busy boy or waiter out front we were talking, and low-rider car w/loud music came by, we knew foreboding not -safe, we were gestured into rest. ,guy came out of car with pistol- we could see him through window as he mocked us with pistol
waking it was like karmic retribution

since last time there has been an awareness of my past
past incidents or emotions or thoughts which are 'poisons of the mind' which have been suppressed
come up for healing or, more often, WAHH- caught up in it

[KA often ppl's religious beliefs are serious impediments, if they constrict behaviors or ideas, but this guy is a Buddhist and that makes him more open to communication. For him his spiritual path is not a maintaining cause, but for many it is]

all coming up to be examined, doesn't feel good
I did that, I do that, that doesn't feel good- it isn't consistent with how I present myself
close to the hell regions, but not- different

very familiar to 12 yrs ago, time in the 90's when everything collapsed
after numbness there was a time of intensity- ARGH- it's like that, but with some difference to it

[he's assessing himself in a very conscious way, past is coming forward (Hering's law)- this happens with many clients, they are brought into present clearing rubbish along the way]

it's been very diff for me 4-5 wks, quagmire
it's as though awareness occurs, I come outside of myself and have some insight

taking the rem. and coming here is leading myself down that path- there is some opport. for wellness that hasn't yet occurred
after getting into it feeling I didn't know I was going to dig up all this
I wrote 4 page letter to  younger sis and phone conversations
it's been very diff, she has resentment
I'd rather run away
that's my MO- run away, avoid at all costs

[KA: This is about his relationship with Joy, he's no longer stuck in trauma of past, he's facing his existential state]

it's not comfortable but it's awesome
it's challenging, every moment want to avoid and leave but not doing that
actions are totally diff than what I normally do
I'm not thinking about acting, I'm just doing it

I went at it with this physical guy (verbally not physically) until we got to it
like my EST days, got all the way to the bottom
I haven't been willing or wanting to do that with myself or anyone else- this is shifting

there is a lvl of responsibility I'm willing to undertake that I wasn't wanting to before
I wanted to disengage before
I've been playing less
adult and play time, judgments about who an adult is
I love to have fun
peter pan syndrome- I don't ever want to grow up
I am who I am, not sure if that's true- being honest I'd have to say yes that's true

it doesn't seem fun to grow up
most grown ups I know are pirates
burden or predicament, not fun
I look out there and don't want to live like adults do
worry about $$ or this that other thing

emot. mature
if I want a family there's something diff. that needs to change about how I behave
there's been a wanting to avoid that, and that's shifting too
I'm more open to it
I can provide that, do that without giving up everything
it's not black and white I can have it all
I can see that tunnel and the light, whereas before i'd keep that door locked and shut

when I think of having a fam, and children, that step of marriage has been locked and shut
use my DA as an ex. it seemed to be a burden, not an opport.- by observing him
wonder is this possible? fear arises, scared I can't be a good father
scared I'd fail

[KA this is complete script of Lyc, he is in every moment describing his state]
[ desire by homeopath to give him another high dose to hurry it up- his GF wants a decision on marriage in 6 weeks- but don't be tempted by that! He's making a lot of improvement, he's still in the same track and need to just let him keep going]

is the story evolving? y
does it still sound like Lycopodium? y

if he gave new relationship stories that sound like not-Lycopodium then consider giving something else

Lydia: does the Lyc stop working if we give something else? no real answer to that question, can't know for sure, esp. after something else is taken- most likely the Lyc is still working]

now it's diminishing, the fear of responsibility
it's a failing in living up to my own expectations that was the stop
as I look at it more and more it is diminishing
that's a big shift, lots is happening

less aches and pains
hip spot still clicks and does funny things
morton's neuroma is present, always has been
draining out of R nostril [lyc keynote!]
raw sensation in chest, heart area, heart chakra area
mostly emotional energy thing
tender spot on L side chest - hurt last Wed, soreness in muscles, pain felt stuck there and massaging it it went away- only time it hurt in last 6 weeks

[When physicals get better and then come back later it's a good sign that the original dose is completing it's action. He is still making good forward progress, but he's starting to have physical things that had been gone.]

no flying dreams
dark dreams, not light
there's a diff sense
no waking up with a real sense of fear

[sense of being in it but not in it is a Great sign of health! it allows for a 3rd person perspective]

spider dream last night, big spider
there Should be fear in the dream, but it isn't , it's a curiosity, it's more of a noticing
gun dream- guy was menacing but I wasn't going to be harmed, curiosity about what's happening

it wasn't good enough for me when spirit. teacher said I would give my life for
this is a big thing for me
someone else
who I wanted to be was savior of the world

[grandiosity is a feature of Lyc]

this is an overlay to all the other things going on
it wasn't enough for me emotionally in this lifetime to just be a loyal friend [cries]
and where I've come to it's actually an HONOR to be a loyal friend
and the ppl who know me and who have done things with me, they know that's who I am
instead of saving the world, maybe in this lifetime to be a loyal friend is enough

[KA: this was in June. In July they got engaged, then baby]

- this case shows how items are tracked month by month
- by the end the physicals were improved, some things came back, he wasn't worried about it at all
- since 2006 he's had a couple of doses of 30C Lyc but that's it
- his dilemmas now are 'who am I going to be for the rest of my life as a dad and a husband, how do I do the fun I used to do in a responsible way?'

We all project, it isn't reasonable to think you won't do it. It IS reasonable to become AWARE of this, to know it is part of being human. Your role is to provide a service to your client, nothing about you.

Ethical guidelines are drawn up to define boundaries for your professional practice.

Sugg using RUBRIC set as basis for follow up questions.
...............................................

Afternoon class: Intro to Therapeutic Interactions
- projection, transference, counter-transference, bias and professional ethics

Freud first identified the psych. process of transference and brought it into what is now modern day psychotherapy.

As a therapist he noticed that ppl had strong feelings and fantasies about him that had no basis in reality.

Transference is actually something that happens in life- and not just psychotherapy.

* You WILL need a mentor and supervisor the rest of your professional life! Because you will always have a shadow, and ethically you need this to keep you honest.

Transference is:
- time warp into the past when a current event triggers past emotion
- transfers your emotional past and psych needs onto the present (in a way that is inappropriate)
- person reacts to what he needs to see... or what he fears... actually unrelated to situation
- it happens WITHOUT conscious awareness

Projection is:
- a type of transference
- you are projecting your feelings, emotions or motivations into another person, assigning those to the other without realizing that they are your reaction
- classic example= love at first sight

Why would we do this?
- transference is caused by unmet needs, neglect, seduction and other abuse as a child
- some therapists intentionally create or allow transference to form- it helps the practitioner to understand the client's delusion
- once the person is aware of the delusion, he can choose to respond in present time instead of from past unmet or distorted needs

Extreme transference:
- reminders of past intense situations
- can be positive or negative
- often involved in rxns of idolizing or loathing
- client reacts to practitioner based on experiences with another person
- client sees practitioner as Mom, Dad, Boss, etc.

How do you identify a transference reaction?
- powerful rxn to a person/situation that is not justifiable to a reasonable person
---when you're deep in it is when you LEAST want to deal with it- if it's great it's too fun to stop, and if it's awful it's too horrible to look at
- rationalization can make this hard to recognize
- strong sexual attractions to therapist/teacher/boss, etc are almost always a transference reaction
- becoming angry with practitioner as if he were parent/spouse/kid
- terminating treatment prematurely is often related to transference
--If you realize you are engaged and cannot stop- you are ethically obligated to terminate the contact

Counter-transference is a two-way street:
- practitioners have transference rxns to clients
- counter -rxn to the client's transference
[missed piece- see doc]

Professional Implications:
- Interactions with inequalities of power, influence of vulnerability to introduce risk of transference
-- as homeopaths we can always be an equal ally with them, but there's a risk of inequality
-- KA: introduce myself as 'Karen' not dr or ms or whatever, and have zero interest in people wanting me to play dr or god fixing them, you are NOT in charge of your clients
-- some clients will try to be in charge of you, or have you in charge of them- watch it for transference
-- there will Always be an influence differential as you have the knowledge
-- you will always be less vulnerable than the client as you are not putting yourself out there, your reputation is on the line but not your personal inner self

- Acting on transference rxns can be abusive to the parties involved
--can be abusive to either/both side of equation
-- huge emotional thing, and it can't end well unless it's used therapeutically
--this WILL happen with your clients- a remedy will heal their transference delusions, ppl leave marriages and jobs, do all kinds of things
- Professional ethics exist to define rules for conduct that protect all parties involved

So what are the rules of engagement?
- code of ethics- CC, NASH, Licensures
- no dual relationships
-- can you play golf with your clients? good question
-- you don't want anything to interfere with your ability to take the case
-- ways to maintain distance in social situations- keep social and wk stuff separate
- relationship exists only for therpeutic purpose for the benefit of the client
- avoid situations that promote inflated ego, feelings of power, or illusions of control over others, or other ego needs of practitioner

??diff btw anonymity and confidentiality? in psychotherapy you can eliminate name and a few details and publish it. Homeopathy has very distinct patterns so anonymity doesn't work well as the details you'd need to remove are ones very relevant to the case.
......

Acute trauma triage
impt symptoms
pt of view what to do acutely right now
1st and 2nd choice w/3 reasons each

etiology: sudden death of brother, lots of travel
Time disoriented
lost in space
walking in cloud
feet not on ground
tired, can't sleep
laughing inappropriately
MIND, Grief p50
MIND, Laughing, serious matters over
MIND, Delusions, body lighter than air: Lack, op, thuja
MIND - Grief, ailments from
MIND, Laughing, immoderately p62

CANN-I - disoriented time, uncontrollable laughter, very tired but sleepless
NAT MUR - for ill effects of grief, tears with laughter, sleepless from grief, VERTIGO, walking,  sensation of gliding in the air as if feet did not touch the ground, while
IGN - big grief remedy, esp. when it's a shock, insomnia from grief, hysteria laughing inappropriately
ARNICA
ACON
Gels - ill effects of bad news, depressing emotions, unpleasant surprise, worse shock, effects of grief, vertigo, NOT: heavy body, heavy sleep
ASAR- MIND, Delusions, floating in air, walking while, NOT: cold
Caust: no
Anac - no
apis - no
plat - no
calc-ar no
tarent
nux - v
graph

JETLAG: arnica alternating with valeriana

........................

Homework discussion

phantom amputation pains - only in upper limbs, only remedies that apply: ALLIUM CEPA and HYPERICUM

night- full dark
evening - btw full light and full dark- diff times during year
twilight-
morning- when does sun come up?
forenoon- 9am-noon
- Not an exact science!

Kali Carb - potassiums control water in the body

Menstruation: small amount 3 days or less, long is 6 days or more
xanthoxylum : when pain extends down the thighs

pyrogenium- things that are septic, smell like death, pain itching- made from putrid beef

abdominal stuff on or during her period, but it could be an endometrial event, a cyst, or with the kidneys or appendix

cactus- sense of restraint, unendurable pain

mercurius and kreosotum are both syphilitic
HPV, gonorrhea, chlamydia  are all sycotic miasm

Gerianne's case:
cactus
pulsatilla
lilium tigrinum
aurum
aurum salts
concomitants of heart and uterus

viburnum - cramps that extend to the low back

Saturday 03.14.09

Saturday Mar 14 2009

Lynn Amara

- NASH - North American Society of Homeopaths
-- Lynn is a member, Karen is not, they have student memberships- got paperwork handout
--Sugg. that if you do become a member of an organization to become as involved as possible- it will bring you opportunities, connections, learning opportunities
[NCH (c/b study group leader- good way to start a practice), CHC]

Jilda: hand therapy- weighted Dr. Grip pen, larger pen size- impt. to hold pen loosely and not press too hard when writing, alternate pen grips to change pressure on hand, there are also pen devices for hand to help with grip, there are lots of alternatives- important to take care of your hands

* Live Scribe- tablet with pen as you write it records in the computer, writing becomes digitalized plus the pen records the audio- only Windows at this point. Available at Target for #200 - diff levels of price and other features. It's out there if someone wants to try it.

- Homeopathy today article- from Karen, many paths to support the whole, health freedom, working at all diff levels cooperatively, homeopathy practiced a tdiff levels of expertise, we should move towards recognizing ppl working at diff levels.
-- Good article on coughs and why you shouldn't give cough syrup for a cough- good to know the data by heart to tell people why.
-- Also two articles about homeopathy in Africa, like in Kenya. And in Ghana.

Clinic cleanup round
- Marin clinic- saw good results for eczema case after only 3 weeks, new case with family w/cancer history and auto-immune disorder
- Berkeley clinic- new client from Brazil singer exhausted from singing/talking, f/u w/UTI, kidney issues (Bella), and f/u w/diff of self, care taking of parents (Terry)

*July 17th clinic- even though schools is out, we are invited to attend, included in tuition

Case Discussion: "Case of Oi Vay! We're all going to die"
2003 case started, only started moving in the last year. She didn't come regularly, but this is a good example of trying many good remedies and not making lots of progress.

HO - History of
HA - headache
ROOS - Return of Old Symptoms

Hoxy clinic- herbal protocol, diet, stress reduction clinic in Mexico

- anxiety, stress, depression
- R hip, lower back stiffness
- irregular cells in uterus
- hot flashes?
- nervous flushing
- night sweats
- fears: public speaking, people seeing me, car traffic, car passenger, flying, heights, small spaces, diseases
- food cravings: fat, sugar, meat, cold drinks, salt, ice cream butter
- HBP
-- HA @ occiput, vise-like, 1 wk
-- tinnitis, 1 yr
- swelling ankles: < hot weather, < flying
- constipation 99% of time, bm 2-3x/wk, 20 yrs
- vision declined
- fungal issues: yeast infection, tinea in fat creases, responds to probiotics
- fingernail striations and spots
- gray hair in 20's
- tongue cracked, indented, white moss
- R side migrate during PMS
- dreams of relatives
- R side everything

Discussion of chars:
Fears, stress, etc.
Cardio-vascular
Uterine- female
Constipation --> IBS
Tongue- what does it mean?
Nails - what does it mean?

* Aloe is good for OCD w/fears anxieties
* Lynn's law of cure: if a person is cleaning closets, getting a new wardrobe, new haircut- these are excellent signs that person is improving

Today's topic: Obstacles to cure

3 phases of homeopathy:
Reaction - look for a reaction that is a sign that things are moving in the right direction. Are they sleeping better? Do they have more mental clarity? Are we in dialogue with the vital force?
- Some clients will try to please you, some withhold saying they are better, it's impt for you to ask 'How are you better?'
- It's human nature to not hear more if someone says they are better, but it can be a big mistake- is it from the remedy or a coincidence? Ask for clarification.
- Generally speaking falling in love is better than any remedy you can ever give- this is a good example of a coincidence that helps.
- Why are they better? Make sure it's your remedy- compare points they give with the remedy characteristics.
- Are they getting a negative reaction? Is it from something they did?
-- Has some sort of Palliation occurred? a pretty good remedy that maybe has some good rxns and some not so great
-- Palliation is not truly curing, but making some things nice, may not hold out, but will provide some results now, may prevent person from going on a drug or having a surgery, may buy you some time

* Homeopathy can be used allopathically "green allopathy", it's palliation not true cure, can be good acute care treatment
* There is some question if this should be done
* If the acute is a true acute (accident, injury, true epidemic) treating it is an advantage because you are lessening the cost to the vital force
* If the acute is an exacerbation of the chronic symptoms (happens often) there is no real value to treating it acutely, you must use the chronic remedy applied acutely to treat it
* You will get palliation and not cure if the Remedy you give does not have an affinity to the locus of the problem- like an organ affinity like a kidney.

--Prolonged aggravation- this is a big possibility. Vithoulkas writes on this- wave pattern reaction. Vital force may be rebounding in new situation (ie: person is now off meds they were taking).
-- Posology- you might have given a way to give a remedy that is not best for the client in their unique situation. There has to be some management of posology to find best method to match client. It's a big topic.
-- Wrong Remedy? It's the most common one for graduate students, unfortunately. Make sure it isn't one of the other things. You may never know which of these options it really is- keep looking, evaluating.
-- Return of old symptoms- are they getting worse or maybe they never mentioned having these symptoms to you before.
-- Local symptoms as yet unchanged - ex: of kid w/eczema but is sleeping better

* Local symptoms may not improve if the remedy you give doesn't directly relate to them. If the locus of the disease is addressed w/ the remedy the local symptoms may improve a lot more quickly. Some of the polychrests have many focii which could apply to many locii, fyi. Advanced topic!

* H said you give the best remedy you can, and at f/u you see what has changed, and if things are changed in a way that give you a better picture- follow that. A good remedy can clarify things- giving a modality or a time, which can orient you better. This is the process of homeopathy.
* As a new homeopath it's crucial to learn the process until you gain the skills to make better guesses at the first interview. The f/u will be important. H didn't get it right the first time either!
* You must TRUST the vital force - it wants to be healed. You offer it things, and it gives you back a response> you are having a conversation with it. KA: less than a quarter of people in 2 yrs are on the same remedy as given initially.

* No change or the same- you'll get a bad feeling, you have to go through tracking symptoms and verify that is so.  Confirm that there really is no change- this is daunting.  You will want to retreat- instead ask them if there is anything else they can tell you.

Recovery
Maintenance

Why No Reaction?
* You will create confidence in your clients if you OWN what you did- there is no shame in a remedy that doesn't act. There is no excuse for a remedy that is poorly selected without due diligence. If you carefully evaluated the case and the remedy didn't act why should you feel badly about that?
* EX: Karen told Michael in last month's clinic: it's obv. that you still have a lot of the same symptoms so we're going to look into a different remedy for you.

* Lynn: "I need you to help me find more that i can get underneath this with you". You are talking to the person, but are addressing the vital force for help.

* Carefully review if there have been any anti-doting circumstances. People can be given direct instructions and still hear what they want to hear. Camphor, eucalyptus, menthol, frankincense, tea tree oil, strong aromatics, smoking dope, coffee, strong mints, etc.
* Aromatheraphy antidotes all the time
* FLOWER essences are really powerful, there are definite uses for them, and they can antidote MANY remedies. Careful!
* Coffee interferes with most women. Men have better biological ability to excrete it from their body. Find reason why people use it.
-- Guys who use a LOT of coffee are headed for Parkinson's, it's how they prop themselves up. Articles say Parkison's is better with coffee- because it props you up. But they have been already doing that for 20+ years.
-- GENS, stimulants, desires

* Wrong remedy- again
* Wrong potency- can be an issue, not too often
* Lack of remedy - in non-US places, it's common to change pharmacies instead of trying a new remedy.  Grafts are dangerous- comes from essences being extended. Happened a lot more when remedies were hard to get.
* Interference
* Most often: No Sustained reaction, slight reaction to no reaction. 
-- Can be because it's been too long between assessments. Especially if using LM, the vital source may have used up it's reaction to the potency.
-- Potency must be changed so that the vital force RENEWS it's reaction to it.
-- If it goes too long, the vital force stalls out and stops reaction. It can stop after 6-8 weeks or a few months, it varies.
* If a potency has been antidote, where do you pick up? Kent says go back to where you were before the remedy. KA and LA both change it up.
* Lynn's rule: Change something! Just any small change can wake up the vital force.

.............
* ANTIDOTE: really means that the vital force has Jumped Tracks. It was on a good track, a force came along and bumped it off track onto another track.
LA: I rarely disagree w/H but he was before Quantum physics. We know that there really isn't a 6c- there is change from the bottle being on the table to when you pick it up - it's not the same. Sometimes the vital force requires a little more change. Repeating a 6c dose "nags" the vital force, and it's never the same 6c dose, it's not physically possible to be the same.
Jo Daly- a remedy is a shovel of dirt into a big hole of susceptibility-your own hole may be the size of a golf ball or the grand canyon. Each dose goes towards filling the whole, satisfying the susceptibility. You are reducing their susceptibility, training them into a new way of being.

Christopher Alexander- "The timeless way of building" - he thinks it's a book about architecture, but it's really about homeopathy/> the nature of things and architecture, patterns. Self sustaining patterns.
.........
* KA: You are training people into a more SUSTAINABLE pattern of health via homeopathy. One where the environment takes care of itself instead of degrading like a logged forest.

* If there is no sustained response it's very likely you have a simile, not the simillimum
* Is the potency used up? Is the vital force's response to the potency flattened out?
* Acutes or other trauma happened. Major car accident can disrupt the action of their constitutional remedy- but people may not call/notify you.  Major interference.
* Intense maintaining causes - Big topic! Something in the life, lifestyle, habits, environment that constantly gives more fuel to the root of illness. EX: child who goes to bed at 11pm and s/b in bed by 7:30, this is a huge maintaining cause.
-- Is this a serious disease or pathology? You might have missed something. Abdominal pain may be cancer. Dark urine may be hepatitis. This is where training helps- it happens to everyone but you can minimize it.

Cautionary tale: Dr. likes to refer patients to alt. health, but only really hard cases that Dr's can't figure out. Has many tests, acupuncture, etc. This girl had appendicitis and no one knew!
TIP: If you're remedies consistently DO NOT ACT, there is pathology in the way. If things do not move at all, sugg. they get a diagnosis because it's obv. something is going on we don't understand. EX from above, girl was a surgical case for appendix, and homeopathy probably couldn't do anything about it.

Intense maintaining causes
* Exogenous Causes: Deprivations, wounds, excesses
* Unhappy marriage, remorse or unremitting grief

LA: Choose your battles carefully, look at Organon #260 at total list of things we are to avoid.  Coffee is at the top of the list.  She has seen coffee ice cream antidote remedies. Spiced cake has nutmeg, a hallucinogen. Some people are super sensitive to all of these things. Onion, asparagus, artichokes.
* She had whooping cough: took cokus cacti (?) - which is the worm in the cactus. She had cactus for dinner and it anti-doted the remedy.
* Anything that stimulates or represses the patient should be avoided
* Tobacco doesn't antidote a remedy, whereas marijuana does. Clove cigarettes can antidote (but KA has never seen it). It depends on the susceptibility of the patient.
* You can give advice based on the remedy the person is on for things like toothpaste, etc.  Flouride toothpaste not good for people with flouride problems. It gets really complicated.

...........................
Hahnemann's Obstacles to Cure from Chronic Diseases
- Handout from Lynn
- Ailments from bad news- losing home or job or having a child/grandchild with congenital birth defects can be a morbific influence on the vital force
- YEARS of excessive hardships and labor, poverty, malnutrition are NOT causes compared to MONTHS of unhappy marriage or with a remorseful conscience.
- EX: people will talk endlessly of their marriage, not of themselves. No indiv. symptoms, only symptoms of the marriage.
- It can be any person you live with who is entangled in their lives, aunts/grandmothers/children - not always a spouse
- If you have NO remorse and you are committing adultery LA won't see you because your whole vital force is wrapped up in this.
- KA: if a person is convinced that they cannot get pregnant because of an abortion 10+ years ago, or because wife cheated husband is impotent this has PHYSICAL effects
- Remorse or guilty conscience is NOT pathological- cannot be changed. Can ONLY change pathological guilt like someone who feels guilty for something they DID NOT DO (or were responsible for).
- People can be stuck in the past with remorse over a past event, and a remedy can help with that. Remedy can NOT help remorse for a current event that you are participating in.
- These people are ill in the same way an alcoholic is, if you can get the state you can help with a remedy which can stop the behavior.
- Bad marriage happens a lot, you can help to some point, but only so far
- Remorse is appropriate in some cases, ex: if you feel guilty for cheating, and you TELL the patient 'your remorse is appropriate for you situation, and homeopathy can only help with inappropriate responses to a situation'
- Reason why 10 yrs in the Bastille is better than an unhappy marriage is because your daily state is quickly being abraded, there is constant stirring of the pot making it worse.
- Sudden death of a child - those are tough, and very deep cases.

LA: Highly recommend developing patience and equanimity in YOURSELF. These qualities will help you in your practice. Your sense of self is not swayed by other's opinions about you, or your work.  You must receive all news of your clients good and bad with the same sense of equanimity.
KA: The more you trust the vital force, the easier it will be to do this. You see a long term pattern, which supersedes the client's report for that day.
LA: Everybody is on drugs! It alters the expression of the vital force. Only back in H's day it was opium, and now it's wellbutrin and prozac.

TIP: There is a LOT of Mercury in volcanic ash- there is a lot of mercury in the Philippines from the volcanic activity
.......................
Obstacles to cure for CM case
* familiar with alternative medicine
* Pharmacist
* steroids: 6-7 alopecia, intermittent current use
* belief with mercury toxicity
* Herbal supplements/ cleanses / Cilantro Chelation/Headache take care/ Mg/digestive enzymes/ probiotics/bioset protocol/liver cleanse
* Vaccinations ?
* antibiotics w/kidney infections
* not enough sleep, late nights
* Hormonal IUD

Discussion:
* all of the above +
* NAET therapeutics: NAET is acupuncture technique for removing allergies, can be palliative at best, suppressive at worst
* Remedies with 19X and 22X potencies are PLACEBO
LA - for this case we need to make a shift from the bottom up which will reduce the NEED for other herbal supplements, or other therapies
KA: you can ask/tell a patient to not get alternative therapies but an ill person cannot listen/hear- pick your battles. A person on the mend could "forget" to renew their herbal pills, or decide they no longer need them. You can also appeal to their financial health by not purchasing supplements.
* It's all about negotiation with clients, getting leverage (for this person if she could see that her alopecia might be helped by getting rid of her hormonal IUD, she might go with it- otherwise she has no motivation to do it since she enjoys not having menses.)

.............................................
Afternoon session
Karen Allen
Video: Martin : Peter pan syndrome & suicidal grief

- 88- Ma died term illness
- 89 FA died 3 mo's later car accident
- incid. 88-89 2 yr period
[laugh typing sound]
life has not been same since
internal energetic lvl
I think as I go deep w.in myself to look I see this expectation that it s/be the same as before- loss happens but then s/b back where i was before, but it hasn't happened
I analyze it a lot and think that perhaps there's sthg wrong
in 2yr per there were choices I made that weren' t the best for myself
getting married
3 wks later finding she was unfaithful prior to engagement
broke my heart
took me down a notch (3x)
fiance asked me to invest w/person she had an affair with
friends asked me to invest in a corp with them 89 in Santa Barbara
had just bought first house
friend was realtor, steered me to this 500K house, stress
then I moved to HI w/investment company
all these things happened in short per. of time
it ended essentially sept 92
wife and I separated
91 low point, garage looking at rafters, thinking 'this is what it feels like when ppl are contemplating ending their life'
it's been a process in attempting to heal myself since then w/whatever I can find

there was like a drive and a passion for life which is diminished
the spark is still there, not gone
91 stopped working
94...
...
discuss: he's stuck in this place, first thing he talks about is 88-89 and it's 2004
he had all these things that broke his heart more and more
he can't commit to current relationship
...
94 sold everything
started a spiritual path, focused on searching
as that is deepening the spark is returning
feels like blips on a screen, not whole of who I feel myself to be, then

now, last year and half writing book
when eng. in doing that, focused, present, moving forward
when I'm not it's like there's nothing there
passion: mountaing climibng
I'll research new gear and buy stuff for me and myslef
I tell my friends I'm addicted to this research and shopping
I like the challenge of it, finding exactly what I want and then getting it for the price that I want
it's a game
from having a life filled with...
from 80-88 did EST training, my only real job, lead adv. courses
every morning you get up and your life is about making a diff for someone else- that ended 88
shift from attention on others to att, on me
research and shopping takes the att off myself

att on myslef is suffering and pain
if you cd encapsulate my life right now it would be hopeless resignation
[laugh]

all started from parents dying, 2 yr period- WTF?
nothing makes a diff, nothing matters
this life sucks
my parents gone, falling out w.two sis
felt literally isolated and alone
wow- nothing really does make a diff

I have a consulting comp. now when I do work it's w/non-profit, or hospitals
it just seems as I look out into the cult. of humanity in US
blips on the screen of hope, but for the most part if we tell the truth, we can't change the direction, can't impact, ostrich w/head in sand
culturally over all flavor of that in US
...
he sees despair in the US, because that is how he feels
if you ask a client what average Joe on the street thinks, it'll match what client thinks
...

I was suffering and pain free prior to parents dying
maj. transition sen. yr of high school- grew hair long, that was not ok w/dad
really hurt my feeling, we were really close and then not
indep. rebel time finding my own way, but it was really painful, first exp. of separation in my life from someone I loved dearly
.....
his world is pretty small- this is another place he's stuck
not like EST person?!
.....
college, vision of saving planet
good studies, better at surfing, shifted my focus
it wasn't my purpose
I've always known there was a purpose for me somehow

from 74-80 played stuff
85 back on purpose
I had the exp. of questioning myself, exp. self-doubt
...
confidence issue
parents death resulted in experiencing self-doubt
.....

questioned if I was the right person for the job
93-4 it's been an uphill journey coming back into knowing who I am, regaining or recapturing my power and my heart

how are you diff now from pre-2 yr period
more exp now more wisdom
I was more naive then, but a charger- a fast charger
now I charge but I slow a bit
I keep going going going from will power

....
remedy state he is in involves use and abuse of the will
H : fxn of the intellect, the will, the creative ability - all aspects of mental fxn
....

I want to talk about the hard stuff, the pain and suffering, the 2%
this is the part I'm attempting to free myself from
started comm w/family last year- cousin and sis, very painful
felt orphaned, ostracized
I made some bad choices and the resolution of the estate, I wasn't paying attention, the att. divided up the funds, I made sure my calc. was accurate, what I didn't know is he took some of the invest. illegally- half of my sis' $ went to Guam from this guy and they believed I was involved. so my sis' got half of what I got and they sued this guy.

did you take resp. for this guy? it sounds like you were left holding the bag?
my bad choices were for the whole period- the marriage was unthinking, etc.

I talked to my sis' 12 yrs ago, last time
the corp. and partnership ended poorly- for others it ended very well
my partners decided to not honor my contract
other ppl agreed that I was the bad guy and I didn't do anything about it, I didn't defend myself

I went into shock when my parents died
85 parents got in car accid. visiting me , MA health went downhill after that
perhaps I'm resp. for my MA's death, she was out visiting me
life went downhill after that
[laugh]

I feel guilt that I didn't do more to help her
same feeling of guilty doing sales and mkting and I left that to be w/my mom before she passed away
I rem. she had a friend come, she had blisters and raw spots, her friend rubbed lotion
I rem. feeling I should do that and I was afraid to touch it
my exp. was I didn't do enough
the decision I walked away with was I SHOULD HAVE BEEN ABLE TO SAVE HER

I was going to go back to wk
went up North, spent most of time w/her until she passed away
I made a dec. not to go back to work based on FA having hard time after her death
I stayed until he had his car accid.
then I went numb
when FA died it was just too much
I got the call at night and had to call my sis'
hadn't been connecting with older sis for sev. yrs - it was 11:45 at night, something snapped in her mind, she thought I was playing an evil trick on her, how could I do this to her? she didn't believe that dad had died
this just reinforced me being the bad guy
it was brutal

I became the bad guy w/my fam- 78 cottage/boat w/sis and they didn't pay I gave her 30days to pay, wanted my money and left to go skiing.
I was like a puppy dog kicked in the head, kept coming back
I love my sister, but it as frustrating
comm. w/her when my dad died was the culm. of this

I went to costa rica with some guys
my uncle conn. me w/gp of ppl, keep you busy, get you out there
didn't know what I was getting into- running in jungles trying not to get caught, finding out what Noriega was doing in Costa Rica
it wasn't so terrifying as it really didn't matter
maybe that was what was so brutal

there was all this energy when I came back from that
feeling I could do anything
but w./o much thought or consideration I would do anything- I just did these things

naive and gullible and innocent most of my life in that way
....
this will be remedy for someone who is evolutionarily young
...

GPA sent articles on EST is a cult to my parents
more of me being a bad guy
MA intrigued
DA walked out of presentation
Sis flamed fire

I became family black sheep
when I was wking for Warner I didn't comm. a lot w/ my fam. this is a regret
we would write infrequently
a shift occurred for me at that time where I sep. myself from my fam.
most of time I was on EC and they were on WC

when I would come back in 85 my parents came to see what I did, and to them it was a mystery
they walked around site w/me they got to see what happens during a course
MA = ultimate unconditional love
I made mistakes and she loved me
DA - had agenda for me
He saw what I did, then brought rest of fam. next year, he was proud of me- or so I heard after he died, from his friends

those 2 yrs changed my life completely
I was living the American dream
I had suppressed pain of parent's dying, but 2 houses, a perfect world, wife w/2 kids I loved dearly
after that I had nothing, gave everything away, lived in a cave for a while

I want to heal pain of being sep. from family
I'm left with self-doubt and lack of confidence- questioning myself
what I learned back then is not to trust myself
I don't trust my discernment, don't know if I know what's right

I question if I can do my job- before I would just DO it, now I DO it and then question it
internal shift has happened, want to relieve or alter that
every time I get in a situation something clicks in me to pull it off and then I wonder how that happens

I'm blown away that this is happening
it's like I believe I'm the black sheep and I'm constantly being surprised when things work out well
before 88-89 things just worked out well, I didn't have to think about it, it's just how life was
now I doubt life can be that way again, and when it is it blows me away

sis wrote letter and it was hard
I love her dearly, younger sis
she is hardened from me, and it broke my heart
what I did back then caused this to happen inside her toward me
upwelling inside me of my own anger and resentment at myself for not defending myself and towards them for believing that of me
I just want to heal myself and to let her know I love her

....
over responsibility and under responsibility polarity - resp. for MA's death, can't commit to having a family w/my GF
age development issue
all of these issues
....

MA is in some ways the long suff. martyr, gt mother, her life was about her 3 kids
as I got older and more learned, she sewed her own clothes, she wouldn't buy clothes, like there was no self-worth there
theme through her life of martyrdom
my parents were gt human beings
but as I got older got a sense that family was a great burden to my DA, his life would have been diff if my MA hadn't gotten pregnant

...
!!! In every word and every symptom they are expressing their own state
DA saw family as a burden he didn't really want- same reason appt was made for him
...

if you're a good person you'll serve others not yourself
that's what I was brought up into
if att. is turned on to you, taking care of yrself before taken care of the whole- there is a judgement there

what I've done these past few yrs is not separating myself, being selfish [laughs]

...
conflict in this- he was happy these past yrs doing what he describes as selfish
...

I'm fulfilled when there's some way I can be w/another human being and they have a transformation in their life
climbing and surfing is fun, physical fun
what really fills me is spirit, soul, contributing to the transitions of others, it's a miracle

...
all his stories are about him with someone else
not stuff about his knee, or his career
he talks about issues with mom, ex-wife, sisters, etc.
it's about his interactions w/other ppl
...

what do you resist?
in the last 12 yrs a lot, before that not a lot

the safest is doing it alone, yourself
you won't get hurt and you won't hurt anyone else, doing your own thing
it's easy for me to interact with ppl, most of the time
but I specific friends that I choose that I have maintained for a long long time, through whatever

confidence and self-doubt are missing, something I'd like to fix
relationship w/partner - I'm scared, scared sometimes
she'd like a family I'm not sure I want children- I'm open to the possibility
what frightens me is I'd have to be responsible
there's this picture of resp. that reminds me of my fam. growing up
I'm breaking up this image of resp. being a burden into an opportunity- it's making me more open to things I was avoiding before
almost like re-entering the planet to participate

recurrent dreams; flying around, being in the water, coming out of water and then flying
almost like a feeling of can I hang up here? yes I can and then zipping all over the place

eyes feel dry by end of day, burning
worse from body lotion on face
I don't drink enough water, I feel that, dehydrated a lot, ppl tell me that, I don't think about it, not a thirsty guy

R ear smaller opening, surfer's ear
sinuses sometimes, feeling clogged
intolerant to dairy
when eat cheese, I don't really feel good- not sure if that's because I've been told I'm intolerant or if I really feel it
gritting teeth, worn down edges of teeth- don't grind teeth at night anymore but I know that I did
digestion- feel bloated in mid-riff area
constipation
[laughs]
rabbit pellets
better when eat more veggies
more volume peeing with saw palmetto vitamins [saw palmetto used for prostate for me, older guys have a stop/start peeing, reduces hypertrophy of prostate to increase flow]
2yrs taking it on and off
dry skin - forehead w/o lotion gets dry and flaky you can see dryness on hands, no lotion on shoulders and mid-back get itchy w/little bumps which disappear w/lotion
climbing fall impacted my knee, hip- knee is better but not full range of motion, hip pushes itself over, pushed back by chiro and it's fine for a while and then it'll go out again- can hear clicking, with pain spot, chiro adjust makes that go away

Statement of what needs to be healed + RUBRIC set
grief, self-doubt & confidence, will & responsibility, responsibility & burden, polarity, selfish vs. doing for others, guilt, despair/hopeless resignation, stuck developmentally, doing this right effortlessly vs. being surprised at doing things right, didn't want attention on him vs. fancy job title @ blah blah, dry skin & eyes, thirstless, loves chocolate, intolerance to dairy

RUBRICS
MIND, Despair
MIND, Occupation amel.
MIND, DWELLS on past disagreeable occurrences p39
MIND, Delirium, blames himself for his folly (Op)
MIND, Reproaches, ailments after
SKIN, Dry p1307
STOMACH, Thirstless p530
MIND, DIscouraged p36
disheartened,deprived of courage & confidence, depresses in spirits, dejected, checked
MIND, Irresolution p57
want of resolution, want of dec. and purpose a fluctuation of mind as in doubt between hope and fear
MIND, Grief, ailments from
MIND, Forsaken feeling

Sunday 02.22.09 class notes

2/22/09 morning session with Karen Allen - Review of deck from first classes

Critical reasoning/ Pattern recognition review
- understand how pattern recognition applies to case analysis
- distinguish btw ration and irrational decision making
- discuss chars of effective differentials

Homeopathic concepts we need
- potato-ness of a remedy: difference btw potato chip, baked potato, fries, etc.
- granularity of data: boulders, rocks, sand, silt

* Elise video: boulder = fatigue, silt= writes poetry (not important, part of plot line)

-bias of keynotes: thinking of remedies while case is being presented
-relationship of MM to Repertory

Pattern recognition
- like cures like- identify client pattern, match client to remedy pattern
- done via repertorization and clinic exp.

we need to understand:

• how is a pattern defined?
• how do we recognize it?
• how much of a pattern needs to be there for it to be the pattern??

Pattern: our clients exhibit the pattern as do the provers, aconite is a pattern, etc.

Recognition: defining elements of the known pattern

Patterns defined by:

• rule, law, guideline- good for chess, not homeopathy
• example: case in point for a pattern, built of accumulation of examples, bad for chess good for homeopathy
• analogy and ref: we can describe something else w/same features/pattern
• generalities: [missed]
• abstraction: we separate pattern from the entities that have the concept separate from the entity

Patterns are Formal or Informal
Chess game: formal, fixed rules, fixed pieces have set movements, pattern of game is always displayed

homeopathy: informal, partial patterns always present, complex with unpredictable variation, no specific rules, no fixed points, subject to interpretation and distortion, test case always contains multiple pattern fragments in it, multiple solutions (remedies) may seem to be applicable [seems to be two remedies at once]

Remedy pattern definition

• remedy patterns are def on various levels
• physical symptom details; modality, location, sensation
• idiosyncratic presentation of SRPs
• miasmic affinity
• themes of mental/emotional state
• concomitant

The full pattern is complex and extensive and will never be seen in any ONE case. The pattern encompasses the full remedy state.

The remedy state is a def of all entities that exhibity a representative paternt or symptoms
- remedy states overlap w/each other
-- same Sx in mult remedies (lyc and chel: <R side)
-- same Sx , increasing intensity ( fear in Ars and acon)
-- same miasmatic pattern in multiple remedies (calc and sulph)

-remedy states have remarkable variation w/in them
-- imagine a platina shy little 4 yr old w/recurrent UTI
-- imagine a platina 42yr gay man w/trigeminal neuralgia
-- imagine a platina 17yo teen boy w/eating disorder (need to appear tall and thin)

Isaiah Berlin: created value pluralism concept
- validity of one choice does not invalidate the validity of another choice
- EVERY  case has multiple remedies that CAN work and that could apply
- H says ONE remedy will act the best, but there are plenty of other remedies that would also work but maybe not the best, we aren't omnipotent

Occam's Razor - stick with the simplest case that adequately accounts for the data
- 3 legged stool analogy- there should be at least three good reasons for each remedy choice

Decision trees: allow you to map test case data to conclusions  about the case. Each branching point marks a symptom, each limb rep's a presentation of that symptom. a leaf rep's the remedy state matching the values of the symptoms all along the tree
- relates to the Symptom clusters that Lynn mentioned yesterday, it allows you to make choices about where to go on the decision tree

Remedy Recognition
- No fixed points : can give Aconite if person has no fear, does not predict hour of death
- Characteristic features: most of MM is SAND level of boulder, rock, and and silt. Most of our data about remedy states is sand.

Directionality: we are determining if the case exhibits the pattern, not if the pattern exhibits the case

Multiplicity: differentiation must be rigorous and free of unnecessary assumptions

Bias Prevents Recognition
- expectation, bias, and agenda interfere w/pattern recognition- confusion about which data are "useful" and which are "irrelevant"

- research consistently confirms that expectation influences outcome

Intuitive vs. Reflective reasoning
- intuitive: gut reaction, no reflection
- some people are really accurate, but cannot explain how it works so they cannot teach you
- you may or may not have these gifts, be sure to track your data to confirm this or not

-Reflective reasoning- reliance on well-articulated reason, allows for improvement

Constructs of critical reasoning
satisficing: done when 'good enough' solution is identified

temporizing: this choice is 'good enough' for now (giving Hypericum for person's foot nerve pain, something to do to improve person and their feeling for homeopathy while you research)

availability: recent info is more readily recalled

association: one word of keynote supports a decision - you listen in a limited way

affect: positive or negative emotional reaction anchors perception- alters your perception of the client based on how they impact you, can be helpful or not- know how you react

dominance structures: one good enough option diminishes others, the resulting investment in that option can motivate subconscious re-framing or definition of the problem or options to support the 'to-be-chosen' option

Irrational vs. Rational thought
- aim for complete, mature, judicial thinking

6 steps to effective Rat thinking

1. IDENTIFY the prob
2. DEF the context - what eveidece of limtation and pathology?
3. ENUMERATE choices - ident 3-4 remedies
4. ANALYZE options: what is the considred best remedy choice
5. LIST reasons explicitly- exactly why are we making this choice
6. SELF CORRECT: looking again, what did we miss?

Effective Differential Characteristics
- factual: opinions welcome when noted as such
- relevant to case: show how remedy applies
- congruent: w/ the prioritization and repertorization
- use all levels of granularity of data
- well referenced: to MM and Repertory
- free of bias, conjecture, situation, fiction, negative logic (ineffective logic, not as clear as 'I am doing X', ex: of negative logic "I'm not going to give Puls to this person because it doesn't have X')

7 simple differentiation strategies
- use 2 levels 9crucial then confirmatory)
- reference the Repertory with MM as back up (MM is the final word, never the Rep)
- fill in the gaps to confirm or decline a symptom
- compare all of the symptoms, from boulders to silt
- Ignore MM remedy data that is not relevant to this case
- be persuaded by preponderance of data, not by bias or expectation of remedy presentation
- be diligent, thorough, procedural, and disciplined

Discussion of Elise's case in class

...............................................
Afternoon class: Karen Allen
discussion: Miasms

"sequella" after effects of disease

KA believes proportions of people in each miasm is diff now than it used to be

H and Chronic disease
- cases of relapse- people who never got completely healthy
- he looked at the breadth of human illness
- H spent 12 yrs developing theory of Chronic diseases

Miasm def= an unwholesome atmosphere
- orig use was of swamp gas, an insubstantial unhealthy thing
- in homeopathy it's a taint, a morbific influence
DEF: A PREDISPOSITION TO PREDICTABLE PATTERNS OF DISEASE - ACQUIRED OR INHERITED - AFFECTS SUSCEPTIBILITY

The psoric miasm is related to being human
We are born with miasmic patterns, it provides the soil we grow in in layers of healthy or unhealthy

TIME: Acute hours/days  vs. Chronic (years)
SCOPE: body part/organ   ...  Whole Person
GENERATION: indiv.... family (genetics)

OTHER SUBSETS: Race, gender, nationality, epidemic, geographical

Can be based on location, environment can predispose the population to be susceptible to a disease

Geography can affect you as well- moving to a new place can introduce you to allergies or other localized symptoms that you would never have at home/elsewhere.

Epidemics: H found one or two remedies that could be applied to Everyone who had certain epidemics- those worked for all who had the disease.
EX: yellow fever, typhoid, cholera

Disease appears at each level; remedies can be chosen for any level

The State- different views
acute state: brief, self resolving, remedies relieve or reduce the suffering
chronic state: longer time to cure, relapsing

** 100 yrs ago most people died from ACUTE ailments, nowadays mostly Chronic

Impaired vital force: the organism is constrained, no longer able to resolve, and ability to respond to a remedy is limited
ex; physical tissue change, amputation, nerve damage, advanced lung cancer, because of medical treatments, lifestyle of accumulated habit choices, family history (history of tuberculosis- this makes you predisposed to have the tendencies and also to not respond to it well because your vital force is constrained)

* a "state" can be healthy, balanced and stable- healthy end vs. unhealthy end

Vital Force+ miasm (terrain) = State + Morbific influence = Disease

* you are born with miasmatic history, and this influences your physiology
* terrain = "soil" you grow up in
* diathesis - the ground on which your case is based, miasm is only a piece of that (interchangable with terrain)

(*terrain, diasthesis=miasmatic influence (cf:  somatypes))

What does Chronic Disease look like?
- disease state arises from the terrain when the state (susceptible) meets a morbific influence, some of which are strong and some are weak

- the disease cannot be eradicated by the body's own powers
-- when it has become chronic this is true- in acute cases your body can often throw it off by itself

- treatment (homeopathic or otherwise) palliates but does not cure- the disease relapses or modifies but it still continues

'Obstacles to Cure'  = Prevent Healing
'Maintaining Causes' = Support Illness
- H noted that diet, stress, sleep deprivation, climate, emotional shock , etc. can impact health and s/b addressed to improve health ( and advised that ill people cannot take advice!)
-- as they get better, help them make better choices- provide good information instead of advice

- H observed an even deeper obstacle to cure, not explained by any of these factors, that prevented the chronic disease which ended only with death

Contagion and Inheritance
- contagion is an energetic process
-- infuses the entire being instantly, is not an 'infective' process
-- psoric miasm can be conveyed from person to person by one touch- alters the entire organism instantaneously
- contagion of the active disease can create the miasm
--sycotic miasm- the active disease is gonorrhea or chlamydia (H and Clarke unable to distinguish,e ven though we can now)
-- if it's resolved you will not have the miasm, if you don't resolve it you will have it forever
- the miasm is inheritable
--diseases can create a miasm
--typhoid miasm, malaria miasms, ringworm miasms  - these are often subsets of the main three miasms
-- the miasms do not change, but how they are presenting in the population that does have them, does change

Eugenics: Quality of the race
- branch of biology regarding knowledge which generic man needs to continue to persist as a species in the best possible way
--optimizing the species
--homeopaths have an active opportunity to affect this with EVERy case we do
-- it is not enough to safeguard the individual, who is a passing phenomenon; it is more imp to safeguard the species
---this is how homeopaths get into eugenics: through the lens of health and freedom from limitation/pain
---freedom to pursue the highest goals of a person's life
---this helps them not only now but for their future, prevents suffering
---also prevents issues from transferring to their children as well- changes the future of the species

Miasmic Prescribing
- this is a form of prophylaxis for future generations
- to cure a person does not mean only to free him from present suffering, but also to spare him from future suffering

Predominant Miasms
- Psora: Eruptive diathesis
- Sycosis: Proliferative diathesis (over-produce)

Psora: "The Itch"
- Disease in it's simplest form appears as an eruption
- H called it the '1000-headed hydra' because it manifests in so many diff ways
- if it is suppressed (ointments, cautery, etc) a deeper and more complicated illness replaces it
-- the body has an 'economy' - the VF (Vital Force) tries to maintain it's state and fix it's disrepair in the most economical way (like a tiny wart). It has to keep everything running, so if it doesn't have full power it will slowly start to break down, or particular parts may not work because it can't keep track of everything. The most superfluous parts break first because body keeps the most essential stuff running until it can't.
- Oldest, deepest, most persistent chronic disease
- Like a 'swamp gas' hovering around the person's VF
- Affects large numbers of people, affecting health

* KA most of the cases she sees are NO LONGER psoric- they are either sycotic or syphilitic

Psora: Underfunction
- Psoric people will complain a lot, but are not about to die- they have complaints, but they aren't serious
- Functional complaints for body parts that under function: lack of ovulation, digestion problems, not enough oil in the skin
- Reaction: irritation, inflammation, reactivity
- All kinds of skin eruptions
- Affinity to skin, lungs, G/I tract
- Nosode: Psorinum, Ringworm, Leprosinum

exception: not herpetic eruptions, which are sycotic

- The basic psoric state is one where you deal with your skin separating you from all that is, unable to be part of the ALL, interferes with the client's perception of being part of the universe/human race.  Separation from the Divine- dissatisfied, incomplete state.

Def: nosode: made from diseased tissue
- Psorinum: made from scabies vesicle
- Ringworm: has an incomplete proving, is a fungal infection not a parasite like scabies or lice, made from scrapings of the eruption. It has a mental process of struggling and then giving up in hopeless despair. Then they gather the resources to struggle again, only to give up in despair. Constant struggle or hopeless inactivity.
- Leprosinum ( also called: Lepromium): You should store Camphor and Leprosinum AWAY from all other remedies in your kit according to homeopathic lore (although KA doesn't do that).
--Leprosinum-H : made from human leprosy tissue
--Leprosinum-A : made from a leprous armadillo

Sycosis: Hydrogenoid Constitution - OVERFUNCTION
- water imbalanced: many complaints related to water, cold, damp weather or conditions
-- don't deal well metabolic water complaints, EX: edema, dehydration, frequent urination, massive thirst
-- etiology from cold water: 'menses suppressed after bathing in a cold river'

- Overproduction of mucous, rheumatoid arthritis, early heart disease, genito-urinary complaints
-- EX; sinus infections, recurrent vaginitis, mucous in stool, cystitis, kidney issues, herpes, warts, HPV
-- Family history: rheumatoid arthritis, heart disease (heart attacks in young men [under 40])
-- cocaine use

- Affinity: genito-urinary tract, mucous membranes (mucous discharge), heart

- Nosodes: Medorrhinum, Chlamydia, Streptococcinum, Staphylococcium
med: loud and out there, better at the ocean
chlam: quiet and retiring, shy and inward, core belief that there is something ugly or shameful about me- must hide it, 80% of ppl with it have no symptoms and do not know they have it

- mental state: over-doing, over-working, over-producing, hyper-activity, inquisitiveness, desire to acquire/have/own (grew in popularity in US over past 50 yrs)
- sex, drugs and rock and roll type
- shame and hiding, drug use
- Keynote: Theorizing- coming up with stories, Violent outbursts
- Children of Medhorrinum may have HORRIBLE diaper rash
- Keynote: risk taking, conflict, rebellion

polychrest: guards against multiple miasms, related to multiple miasms

Syphilis: Distorted Function : Suppurative
- Destructive: distortion or breakdown
- Congenital deformity, pointed or saw teeth, necrosis, ulceration, pus formation
-- exception: when pregnant mothers are on drugs which impact the baby
- Affinity: Genito-urinary tract, eyes, nervous system, bloody discharges
- Nosodes: Syphilinum

* mental state: is really weird, could be nihilism - so into despair that it becomes nihilism, OR madness on the edge of genius
* c/b blocked artistic expression which leads to incredible despair
* lots of mental illness: schizophrenia, multiple personality

* This is Breakdown: breakdown of the body OR the mind
...............

Imagine a Tree of Miasms
* the giant foundational trunk : psora
* large branches:
**sycosis
**syphilis
**psora + syphilis = tuberculosis
** cancer: can be psoric, syphilitic, sycotic - tends to be a further progression than psoric alone
** past cancer, AIDS

cancer indicators: family history of skin diseases/mononucleosis/diabetes, trouble individuating self

 

*"Time"; "vaccuum" (imponderable remedies) used by Noula Eising for schizophrenia
.................

Sankoran: when a person is in a SOLVABLE dilemma and they do NOT solve it, it is a sign of illness
- ex: in India drains connect to ground- rats and snakes, etc. Each sink has a stopper in the drain to stop those. When you use sink you remove stopper, put it back. Going to sleep you wonder if you put the stopper in the drain. It takes you hours to go to sleep thinking about it. It would have taken 30 secs to go look- but he didn't. He stayed in the conflict instead.

video: Cliff , drug use- he is caught in total conflict
* you see his behavior and him explaining it away
* you can write it off too, based on your own pathology (I could discount X as "just allergies")
* if you didn't believe the guy was really mean because he seemed nice, you will screw up your rubrics
* sycotic: inherent deceit,  water stuff, sinus infections
* Medhorrhinum case: KA gave a dose, he came back and he was really mad at me "now, when I really want to go smoke dope I can't relax about it I can't blow it off and lie to my wife, you have ruined the one part of my life that was enjoyable to me."

Saturday 02.21.09 notes

Saturday: Lynn Amara

topic: Recognizing Signs and Symptoms

Alexander technique: wide sitting stance, back straight, head tall, lower back pillow

Discussion of Clinic yesterday

Case taking notes-
Most important notes include: adjectives, adverbs, idioms

Skills: take notes while not looking at your writing
Develop your Peripheral Vision! this is good for men, children, taking notes, noting behavior that you wouldn't see otherwise

Practice: go out in flat field, dark night, walk - this develops your peripheral vision

If you're not having a good time in your practice, it's your fault- not the clients. If you're too rushed or stressed out, it doesn't work for everyone.

You are in charge, it's your construct. Know your boundaries for people, types of clients.

Also think about what kinds of cases you want to take! Know you limits/preferences.

It's a skill to learn how to tell the truth in a way that is nice to the client: saying you know other practitioners who you can refer to, etc.

People who make demands of you are not going to be good clients. Be aware!

Skill: when you finish the analysis of the case, close it in your head- don't carry it around with you at all times.

Karen: at end of the day does ritual hand washing
?? banishing, ringing bells to break up the energy
..........................................................

Internet search
- can be like a personal assistant

When you talk to a client first
- find out what they want to come in for
- find out what medicines they are taking

This prepares you to receive the client.

Three types of clients:
- clients that know they have something
- clients who are in deep deep denial
- clients who have done more internet research than a doctor

The people who come to homeopathy are the ones who have been ill-diagnosed by allopathic medicine. They are the ones with continual problems who haven't been served well.

Some Rx's often take 5-9 YEARS to diagnose:
thyroid disease, depression, bi-polar, ovarian cancer (often diagnosed as IBS), endometriosis, polycystic ovarian symptom, Lyme disease

What to Research

1) Research the diagnoses

2) Research what the diagnoses is

3) Research medications and supplements

4) Research homeopathic remedies

5) Research homeopathic therapeutics

6) [missed]

7) Cured cases

When does research occur?

1) Pre-interview:
- your confidence will increase
- your clients will appreciate and trust you more if they think you know what you're talking about
- knowledge ahead of time will free up your brain to pick out the SRPs
- if you are more prepared you will be more free to hear what you need to hear

a) list client complaints
b) client medications

2) During the interview
- client comments
- client relates Dr. comments- you pause to look it up during the interview, happens rarely
- this gives you & the client peace that there is understanding and you can move on to another topic

3) Studying the case

4) Restudying the case

cautionary tale: Young woman client, very physically fit, came in for emotional issues. After a month or two there was an injury from yoga. This began to repeat, stories of injuries. She is in pain, sees lots of massage/chiro practitioners.
Re-studying case showed that after first injury there was an MRI which had a diagnosis of spondylolisthesis  - this is a condition where bones get injured all the time (vertebrae move when they should not), and if this had been noted initially there would have been a totally different path of treatment.

How does research occur?

1) Manual labor
- Indexes
- Chapters
-- of books
-- of periodicals
- Files
- Library system

2) Electronic labor
- Radar
- MacRepertory

3) Ask around (1 to 7 degrees of separation)
- Use your teachers and peers

4) Internet
- ask the Internet how to research the Internet
http://www.lib.berkeley.edu/Teachinglib/Guides/Internet/FindInfo.html

- www.virtualsalt.com/evalu8it.htm

- www.lib.monash.edu.au/vl/www/wwwcon.htm

- search engines, health portals, illness specific sites, blogs and forums
www.betterhomeopathics.com

** Do not get into habit of lecturing a client, which may turn adversarial
*** Option B: send a follow-up email to blog with articles on (ex) constipation, and let the client read it or not. This is a good example as constipation is most often related to lifestyle habits
***Option C: make a handout for a particular thing (ex) like excema, with causes and options. This way you don't need to RE-explain the same thing multitudes of times.

What is the process of Internet Research?
- list of sources
.com = company
.gov= government source
.org= organization
.net = educational or philanthropic
.edu = educational

* TIP: Document your SEARCH
cautionary tale: client used NO (Nitric Oxide supplement) - for dropping hypertension and also used by body builders to bulk up. Did a really complex search that found stunning results. Thought it was the National Institute of Health. But it wasn't and now it's totally lost- because the search wasn't saved.

* TIP: add a bookmark, check browser history, SAVE page as PDF File (Firefox only)!
* TIP: make a book with handwritten tidbits- things not worth bookmarking or saving as a PDF. Otherwise these will be lost forever.
* TIP: can make a quick page print and put article in client's file for future reference

2) IF you know the diagnoses:

www.medscape.com
www.webmd.com
www.medlineplus.gov (www.nlm.nih.gov/medlineplus/
www.nih.gov
www.mayclinic.com
www.4women.gov
google images
en.wikipedia.org
medical university sites
support societies

* TIP: beware the inaccurate diagnoses
............................................
CASE #1 51 yr old woman, skin eruption that developed out in the garden
- hot day, wearing camisole
- L forearm red and raised
- L upper arm and R shoulder near arm pit, red raised and burning
- heat and cold apps do not help
- + day, blisters form and weep
-- not healing, felt like a burn, chemical burn, deep inside, as if inner veins and arteries were bursting with pain
-- no remedies helped: ARS, CAUST, CANTH, URTICA URENS, ARN

6 wks later
- fig leaf touched hand, felt burn

Seeing articles on this diagnosis (phytophotodermatitis) is helpful for the patient: tell them to avoid fig, ficus, eating figs, etc.
Prognosis
FInd out that fig + sunlight = burn, it's a chemical burn, and once we know that we can use that information in finding a homeopathic remedy.

GEN, Burns
**(can also look in SKIN, but Injuries are in Generalities, should look at both and compare remedies. You look in GEN because your body reacts systemically to injuries, regardless of which part got injured.)

GEN, Inflammation, blood vessels
GEN, pain, burning, as from, blood vessels

Remedy:  HAM [hamemalis] (witch hazel)  - feel in blood vessels
HAM for Pizza Burn mouth/ tongue/ lips
hemorroids, varicose veins

phytophotodermatitis

Cautionary tale: can indicate auto-immune process, body starts having strong allergic reaction to strange things. One lady had this prior to being Rx'd with Rheumatoid arthritis.

Cautionary tale: can be from farm workers or people with overload exposure

...................................
Case #2 52 yr old woman
What I know:
- since 9yrs pain when eating
- dental issues - front teeth cracked
- depression, bi-polar, manic
- back and neck injury
- face pain and headaches
- L facial pain, dental broke through L sinus
- back surgery, fused spine
- nodule on R lower lung
- feel like I'm going to pass out
> Milk
21yr old sinus tachycardia, pulse in 100's

What I don't know
abdominal pain
what happened 9yrs for pain eating?
sinus tachycardia

This was NOT a stomach case, but a heart electric system problem, nerve issue, it's a nerve running from throat to abdomen causing heart and abdomen issues. Numa Gastric Nerve problem- needs a heart doctor.

This case is overwhelming with symptoms, it helps to look up all of her old symptoms until you understand what the underlying problem is.

Researching Homeopathic Remedies
- search the name of the remedy
- go to a book seller like minimum.com
-- use search field for 'Venus'
-- results show chapter headings and book list of all relevant books
- Collaborative research
- Quizzes for symptoms/diagnosees like PCOS, or BiPolar disorder, Depression, ADHD

*TIP: look at Phrasing of the quizzes, suggest saying 'you have the SIGNS and SYMPTOMS that might be indicators of X' instead of 'you would probably be diagnosed with X'

- you and the client have concerns about family health
familyhistory.hhs.gov

- you and client have concerns about their general vitality and 'biological age'
www.realage.com

......................
Case #3 58 yr old female, all things that have changed since turning 50
- extremely healthy all life except Br.chitis from 2nd hand smoke over the years

TIP: do NOT ask how a person "feels" , say 'with all that has happened to you, how has that AFFECTED you? What did you DO with that? What habits did that create for you? What was the physiological response to that?

 [student asked 'how did that make you feel? what happened to your real mother? - both of those encourage more of the Plot stories]

In the US using the word 'feel' encourages PLOT stories rather than symptoms.

TIP: Hypericum great for foot damage due to wearing High Heels or ballet slippers

TIP: Sjogren's Syndrome- can suggest client go to doctor to be Tested for this, often times rheumatoid type illnesses are not diagnosed well- tests come back indecisive or incorrect

note: Nausea is not a great symptom as it applies to too many things, hard to narrow down the field.

TIP: The trick to this case is to THROW out the symptoms of Sjogren's as those are COMMON for the disease

So you need to find out what individualizes the case.
You must find the organ or the system that is the initial source of it all

TIP: trust the physicals, the mental is interesting, but the physicals do not lie. They are good for finding the remedy, and excellent for follow-up. If you do not check physicals it's really hard to tell if the person is better or worse later- it's a good indicator of progress.

........................................................................................................
Afternoon class: Karen Allen

We are now starting the real work of homeopathy. We studied what is a symptom, what is a remedy, what is a remedy pattern?

Morning review:
* Pre-Interview: this increases your confidence walking into the first interview, if you are informed. Know their complaints and their medicines.

- Rest of the year will be spent learning case taking, will learn:
take case
prioritize data
choose rubrics
repertorize
identify likely remedies
investigation and comparison
choose a final remedy

Homework discussion:

Case B
Acute exacerbation of a Chronic state
characteristic: of person and of the state:  She is mad and mortified, pain expressed in the abdomen

Discussion of Dental acute cases

Discussion of Allen 2.10-2.12 GI/ Urinary/ Reproductive symptoms

Discussion Mag Phos card: Liver affinity

K.A. is a big fan of BioPlasma: helps pregnant women in first and third trimester just due to the metabolic load on the body
- good for puberty, or growth spurts during puberty
- whenever your body is doing something hugely productive
- good for newborns and teething babies

- also good for massive studying 2-4x day while studying for finals, board exams, etc.

info: nat mur and apis are complimentary
phosphorus is inimical to causticum

CLARKE's practical dict. of MM: has a section on "relationships" which lists those remedies which are incompatible

KENT: Repertory page 1427 list of relationships between complementary and inimical relationships
* question the "anti-dote" column's efficacy

antidotes:
-many think nux vomica or coffee are good for antidoting
-honestly it may be best to find a new remedy for the new state the person is in

APRIL: Repertory Olympics: prizes, books

Appendicitis: Bryonia 1M per Karen

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

Sunday 12.7.08 class notes

Sunday PAH Karen Allen

Class questions:
q: How do you avoid giving a patient a bad aggravation for a month?

a: It's not possible to know how a patient's body will react, so impossible to avoid, but you can be available to them during their discomfort.
    You can also offer them relief to their discomfort that does not disrupt the remedy action. You can also warn them that there will be a reaction (if you know ahead of time), tell them up front. For ex, a person who has abused nasal spray for years and is now going off of it - you can tell ahead of time that they will have a physiological reaction to prepare them.
     Another option is to offer them a low potency of the same remedy they just received, like a 6x- it often softens any extreme reactions. Some schools of homeopathy are against this method, thinking that this takes away from the body's working on the original remedy.
     Also: learn from your mistakes. There will always be people who are sensitive and who will react. If they are already on a low potency, you can't get much lower than that.

A single dry dose of a higher potency is the most likely to give a big reaction.
Lower than that is a liquid dose.
Lastly there is the option to take a dose via olfaction.
..........

The FDA has approved remedies in the Pharmacopeia, there are many provings that will never get the remedies into the Pharmacopeia.
- these remedies are still sold, and yet should not be over the counter
- many pharmacies will consider these a prescription only process
- ex: opium, coca, electricopia (?), metorinum
- anything made from a controlled substance will be off the list
- all of the nosods, all of the sarcods- anything that was made from a disease, anything that had prions that could possibly be in it (even if it's past Avogadro's number)

Class ?'s
nosod def: remedy made from a disease product
common nosods:
tuberculinum - made from sputum from a cow, bird, or lung
psorinum - made from discharge from a scabies vesicle
syphylinum - syphilitic tissue
meterinum- Gonorrheal discharge

auto-nosod def- Remedy made from patient's body, giving them a dose of what they've already got. Can be made from urine or any other bodily discharge. Can be very effective. Can be made in an emergency situation (story of lady hiking in 3rd world).

Duncan therapy: Pioneered by a Dr. Duncan, make an X remedy, somewhere lower than 6X, higher than 6X WILL create nasty aggravations, start with water, add saliva, urine, pus, nasal discharge- whatever you've got, 1X is a 1-10 dilution. Karen has used this with menstrual discharge has helped a woman starting to miscarry. Can use alcohol if you have it, or clean water.
Make it in water, DO NOT KEEP IT more than 48 hrs, things grow in there. If you need more, you make more. The vital source will have changed at that point, so the nature of the remedy will have changed.
Saliva is the easiest one. Suggest doing it to yourself- you will learn something important about yourself, will improve your health.
This is perfect in an emergency situation when you have no other options. Can make it from scrapings of skin eruptions, horrible diarrhea/stool. It makes more sense to make it from the appropriate part that relates to the disease, but in theory your entire body will be effected and so any part can be used.

Sarcodes: remedies made from healthy body tissue. Hypothalmus, thyroid- these are remedies. Thymus glad. My question is: how can healthy body tissue help a person in the like-cures-like principle. A: this is a great Year2 question, it's a long conversation.

Class ?'s
q: When you have patients who are currently on a lot of meds what are your coping actions?
- can tell them to quit, it probably won't be effective- too idealistic
- adjust your dosage, low potency daily dose
- for recreational drugging, as they get healthier their impetus to drug dissipates
- high blood pressure drugs start to over-act as the person gets healthier (ex) so you have to warn the patient that their need for that medicine will be reduced
- many patients won't know or recall what medicines they are on- esp. older patients who you may only see once a year. Many don't know or forget, so you can ASK what they are taking, but that doesn't always work
- you can ask what symptoms the patient had that led them to go to the Dr that caused them to get the prescription
- as a Homeopath you will need to research current medications and their known side effects- like coughs, etc.

LMs
H saw patients who got better and then later relapsed. Or who were given a remedy for a specific event, it worked fabulously, later the same event happened but the remedy didn't work quite as well. His final concl was that the vital force makes the best use of a remedy the very first time it is taken. He also concluded that putting it in water, and shake it to change the potency just a little bit makes the body receptive to the remedy over and over- since each time it is altered just a fraction.

Patient can't sleep:
1) gemmo therapy - phyto embriology, use of immature plant tissue- shooting buds/stems/leaflets
two you put together, non-addictive, supportive sleep therapy
linden (tilia tomentosa) + fig
Comes in 2oz bottles (lime in Boiron for linden) gemmo tinctures, 1 dose comes from a couple of T of lukewarm water  (less than 1/4c) 30 drops of lime, 30 drops of fig
put in mouth, close eyes, breath 3 slow deep breaths
avg dropperful = 15-18 drops
take every night before bed
triggers body's sleep response

2) 6x tala araneae  - made from spiderweb

Seasonal affective disorder, menopause & hot flashes:
6X of Sol

..........
tinctures
50/50 substance and water/alcohol for making tinctures
measurements vary for substance
HP US will have data

6C ferum phos- good anti-inflammatory, tinctures are good for initial exposure to cold germs

.........
Review of pharmacy principles

- Think of a remedy as electricity, it goes wherever it is to wherever it's connected to, connects via liquid, or touch. EX: if you fill a remedy bottle from filter water your FILTER is now ferum phos. Anything where you POUR liquid, the remedy travels.
- You must be VERY careful, esp since you cannot SEE them change.
- Another consideration are INIMICALs- remedies which when given in order to a patient generate really negative aggravations.
- If you have two open bottles of remedies in alcohol they are both screwed up/contaminated
 It is your job to ENSURE that the remedy you give a patient is valid and not contaminated- as in a new, unopened bottle.
- Not in direct sunlight, not in fridge (mechanical)
- PAY ATTENTION to your remedies, they are ACTIVE substances, and they interact with their environment.
- A way out is to pour alcohol into a little cup, and then pour from the cup to the bottle- this is good. Then THROW away the cup, never re-use it.
- Your WATER FILTER can be contaminated, put in SUNLIGHT to anti-dote, or replace
- If you put a pellet in a cup, and fill the cup from the water faucet it's been contaminated

Grafting
- Taking a remedy and grafting it into other things
- Put a pellet into a cup or bottle of water, have client shake it and take a sip every 15min for an Acute illness
- Pattern of transferring from substance to substance- occurs even if you are not conscious of it

***Suggest getting these in high potency:
ACONITE - 1M, 10M - if there's an earthquake give it to everyone, even for a child
ARNICA 30C/200C/1M/10M
IGNATIA AMARA - for extreme states of emotional upheaval/trauma, grief, sick from incredible joy

What are your criteria for your own personal kit?
- should include remedies for trauma, injury
- flu, colds, cough, common illnesses
- you might want to have a spare for those things (like Arnica) that are used a lot

..........
Homework Discussion

Jo's video: non-union of fracture
tedious
detail oriented
psychic during full moon

argument analysis:

•  is it true? is it real? is she making it up?
• it's our job to assess & perceive, not to judge
• valid or invalid doesn't matter
• each client is the authority- good to assess how 'realistic' their fears are (like case with $ worries, even though they have savings)
• BELIEVE that what the clients says is TRUE FOR THEM

Will people who are gifted (psychic, art, etc.) lose their gift? Only as much as their gift was associated with their pathology. Question is whether or not it's worth losing to the patient- their choice. People have lost things like that as their health improves- and are not grateful> eventually though they usually find it was worth it.

If you as a homeopath FEEL a judgment the patient will know and will shut down. It is your job to be open to whatever they have to say. It's not about you! You can accept your reactions and let them go, don't let it waste time or interrupt the interview.

Rubric: Mind, Clairvoyance is correct , regardless of whether or not she's really psychic, because she believes it is true.

If they are a pathological liar: how do you take the case? look for PATTERNS in the lying: are the stories enlarged? do they lie when they are afraid? are the lies all tied to a particular theme? make a note in your case that you question the truth and sort it out later.

......
RUBRIC SETS
- a boiled down version of the case, a set of rubrics that represent the case
- these represent the 'boulders and rocks' not the 'sand and silt' of the case
- a good rule of thumb is not to have more than 8 rubrics, or less- everything impt, no more or less
- better to pick rubrics that cast a wider net, instead of picking rubrics that have a really small set of remedies
- also base choice on what is most limiting to their life

.........
Afternoon session
case taking- allergies, headaches, diff swallowing

Building Rubric sets
A rubrics set should
 - cover the boulders in the case
 - include the generals and particulars
 - be a great summary in 8 or less short phrases

When looking at a rubric set, ask 3 questions.
For each rubric in the set:
1) Is it accurate (did the client say that? Would it pass rubric court?)

2) Is it helpful/ important/ boulder-ish or limiting?

3) Is there anything else that would strengthen the rubric set?

.........
video
Skip:Influenza

w/in an hr I felt worse and worse
upset stomach
achy
went immed to bed
vomit a few times
in bed for a day, ahven't gotten up
joint ache
beat with a baseball bat
upset stomach

pass out, nauseous
achy bones
joints/bones sensitive, a real ache, sore
hurts to move

drinking water here and there, > ice water, could only drink little bit at a time

was really cold, blanket covered,  6-8 hrs
then I got warm -> hot, covers off
thirsty when hot or cold

bones/joints/disgestive
sudden onset
nausea, vomit

eupatorium - intense pain of aching character involving bones, develops quickly, joint pain, desire for ice-cold drinks.

baptisia- constant desire for water, small amounts, intense aching pains, acute joint pain, sudden onset

Saturday 12.6.08 class notes

Clinic starts in Feb - Fridays 9:30-5:30

Provings: all day class with Richard Pitt

- explore how we get info from a substance to understand it's homeopathic usage
- how do we access/structure the info after we find it? how is it added to the existing lexicon of homeopathic data?

- tabaccum rusticum proving, became a book on it's history and influence. It's the original form of tabacco that Native American's used, the common form is much less harsh (rusticum is harsher and has 4x more nicotine in it). was first cash crop for settlers. Book explores why people use tobacco, and history of it- why choose to smoke it? what does it say about us, and about tobacco? purpose is also to open up context of provings, to show public how they function.

- book 'The California homeopath' journal produced 1882-92 (?), wm boreke author, morphed into Pacific coast homeopathy (1892-1935)
goal is to de-mystify homeopathy, to take away "cult" reputation, goal also to broaden definition of homeopathy, to make it more holistic and also more palatable to the public

AIH - American Institute of Homeopathy (since 1844)

Aph 105-142
Hahnemann's concepts of provings
- this is an unique contribution to the medical annals
- provings test how medicines impact healthy people, which is crucial to understand how they actually impact people

- H claims to similar diseases cannot co-exist within the body, by taking a remedy the artificial disease will trump the natural disease and conquer it.

H you need to prove each remedy as a single medicine, mixing medicines are anathema, even if it's a complex compound. Because the effect of the remedy will mingle with the disease symptoms until they are indistinguishable.

In modern times, who is healthy? not on any medicines incl homeopathic remedies
what other variables effect a person and potentially a remedy? it varies for each proving, and who sets the controls
daily supplements can be allowed if they are part of a daily regime - per Richard

supervisors take a baseline intake for each prover, their role is to be an objective eye to help determine what has changed due to the medicine or not
it's very difficult for provers to self-determine the changes by their nature

Aph108
dose does not relate to potency- talking about physiological doses, often done with crude amounts or only minimally potentized
also get data from accidental poisonings or attempted murder/suicide

look for the 'pure peculiar nature' of each remedy
- against a priori sophistry- theoretical discussion of potential nature of any medicine without proof
- conventional medicines are often based on specious theories
- smell taste appearance of medicine should not give an idea of why/how it may be used
- shape form fxn structure of something may give a hint, but should not give a doctrine of signatures

during provings it's not always easy to determine the validity of the data
there have been some questions of the data from Hahnemann's provers, one guy was in 42 of H's provings and had same symptoms every time
done by Langhammer?  Franz dissects this idea
also questions whether or not doctrine of signatures should be dismissed summarily- why not look at all data to see what unique information it provides?
wrote 'Prisma'

Doctrine of signatures need not be a drastic simplification, but may provide very interesting peculiarities of the nature of the item

Aph111
eternal natural laws
observational phenomena
this information becomes reliable

concept: everything in nature is unique, from a biochemical or other point of view
there is often a huge overlap btw substances, in their nature also in their effect on the body- and yet all are unique
often a synergistic symbiosis in substances (like manganese and iron levels in the body- you need both to have both, eating manganese will lead to having more normal iron levels - for lady who was iron deficient, as opposed to taking more iron in that case)

Aph112
after actions
primary vs secondary actions

prime reaction is stimulative, influence of remedy on the body
sec is the response/reaction, reactive response of the body to the remedy, the counter-action to the primary reaction
sec is the curative action
you do not see the prime reaction often, only the secondary reaction from the body

provings show the primary reaction of the remedy/energy onto a person

what are sec reactions in context of provings? people's body reactions to the remedy always comes through their unique body/history, hard to determine the "pure" effect as the results are filtered in provings through indiv bodies
provings go on for a long time, more data is put in and integrated, the more time goes on the more the data becomes about the secondary reactions rather than the primary ones- essentially it dilutes it

many provings have speculative or dubious data
it is very diff and challenging to filter out good data in provings, or to present it in a way w/o extraneous data, author must take out relevant data or even interpret it, which is also risky- but putting in too much data is also incorrect as it may be misleading

in proving most people won't react iwth only ONE dose, must give repeat doses to get a reaction due to diff levels of susceptibility
then you have reactions which were created by expectation of a reaction by the people doing the proving- another critique of provings
another critique: gestalt in proving group, even if you are a placebo prover you can still ahve symptom of proving from being part of the gp
placebo provers have been questioned- the only need for them is to validate results for generic medical community, they don't provide much for the proving

there is a lot of debate of the original language from the Organon- what is 'frequent' what is 'dose' what is 'moderate' vs. 'minimal'? it is hard to determine

you can superimpose aspects of the remedy onto a person if you give them too high a dose, even with a correct remedy
too high can be for people who have a high susceptibility to the remedy in the first place, or too high a potency or too frequent of a repetition
this can generate symptoms in the patient that are new to them, and not relative to the disease
this is actually a confirmation that the remedy is working, that it's the correct one, although the dose needs to be corrected, you know it's good as long as there is an overall amelioration of the complaint even if there are new symptoms (side effects)
this adds another dimension to the idea of giving a single dose

in poisonings the body is being toxified
narcotics are the exception to many remedies in that the initial reaction is very diff from following reactions (diminishing positive results, growing neg effects)
sm dose stimulates lg dose sedates
like tobacco or opium

botanical classifications often provide synchronous data for homeopathy
tobacco is one of the deadly nightshades

proving coordinator must be discriminating in the proving data or the results will be incomprehensible
it is essential to distinguish the wheat from the chaff, and to group ideas/themes correctly (black mice, black cats- all under 'black' not animals, for tobacco)

Dream provings
- take remedy or put it under the pillow, then relate dreams
- highly debated
- esp at a confrerence all share gp energy and intention
- very easy to tap into the general white noise of the environment, instead of the essence of the remedy
- physicals give a strong idea of an affinity of the remedy, dreams less so

idea of synchronicity
- if homeopathy is based on susceptibility and similars, you introduce that energy into your life
- when you initiate a proving, you initiate a cosmic intention
- info is only good if you can use it and corroborate it- not all things relate, not nothing relates :)

there is an official protocol for provings
if you follow you can add to homeopathic pharmacopeia - but it must conform to clearly defined protocol

most provings do not follow the protocol perfectly and are therefore not included

jeremy shear 'methodologies of homeopathic provings' book
- his provings are so voluminous that it can be diff to discern the salient data, he believes the onus is on the reader to determine the relevant data (unlike others who believe the onus is on the master prover)

homeopathy requires a level of subjectivity which is not ALLOWED in other sciences!!

Meditation provings- tapping into general consciousness

doctrine of signatures is very limited, but that doesn't make it less true

provings are the first step into exploring the true nature of a remedy- it is the foundation and maybe the frame of a new house- without the details and without the personality
the rest of the details are supplied via clinical experience, toxicology, and via the form/function/knowledge of the substance (doctrine of signatures)

..............
afternoon session

Taxis Bravifolia (sp?)
Pacific Yew tree

- "taxal" cancer drug came from this, has unique anti-cancer properties
- destroying trees after farming the bark, then they synthesized the manufacture of the taxal called 'yew tips'
- R.P. did a homeopathic proving of the Yew Tips, a blind proving, many people had dreams of having cancer, of seeing doctors, of being experimented on
   - interesting ideas of doctors, treatment, illness, trust, relationships
   - homeopathic response from a manufactured pill

Coffee - "kaffea"?
is often given to ANTIDOTE a remedy
if a prover has a horrible time with a remedy, they need an antidote
usually a dose of their constitutional will work, or something with similar symptoms to what they are suffering from, OR kaffea (which is good for people suffering from overstimulation)

Acute cases will crave things that will relieve their discomfort, in a Chronic state you tend to crave things that maintain your pathology

......
Petroleum
dreams of hostility, aggression, violence, murder
stabbing sharp stitching pains
control power aggressiveness
burning heat, rage
rapid fast sudden
cracked skin, eruptions (from hydrocarbons)
relationship with alcohol- can be considered as a remedy for a person who drinks a lot and often gets angry when drunk
capacious desire for food, drink, alcohol, money/greed
theme of duality, body is split (cracking skin, mental confusion), disconnection, sense of fragmentation, no separation btw mind and emotion

ibogaine or iboga- from West Africa
used for treating heroin addiction
shows people the inner damage they are doing with drug use- great success so far

** There are some homeopathic teachers who believe that the purpose of homeopathy is to help the spiritual evolution of the human race, although Karen and Richard are not part of that (email for references)

Class topics per weekend:
1: what is a symptom
2: what is a state- recognition of them
3: what is a remedy
4: what are provings

Sunday 11.9.08 class notes

Sunday 11/9/08
Case taking

Start with discussion of K.A.'s patient: teenage boy wk @ home depot, came home dehydrated/vr thirsty, drank big OJ, acrid belching, serious diarrhea, severe right shoulder pain, pounding headache: Sanguinaria

Acute case, we do not know what caused it outside of a disturbance of the vital force- and it does not matter. Was it caused by food poisoning? overwork? relationship with his constitutional medicine? We don't know, but it is something we will want to know over time- something to watch.
........
Practice case taking in groups
........
Michael Quinn - pharmacy

Rudy Balantine gave a lecture- inspired career path
Kent's lectures on homeopathic philosophy

70's trained as pharmacist, came to Berkeley and started making remedies without formal training. Learned from reading and experimenting.

20 hits on a book with a dilution in a jar
water+ 2 drops of thing
alcohol+5 drops of thing
(alcohol drops are smaller than water, so more is needed- different pipettes are used as well)

extreme dilutions, unique formation of water molecules
Dr Sui .. Lo
Theory that in water an ice crystal forms when something is in it, and succussion breaks that crystal into two and on and on. So if you get someone who is in a sulphur state who has too many sulphur molecules, taking the remedy with many broken sulphur molecules- they join together and make the sulphur more water soluble, which allows the body to shed the extra.
This is only a theory.

In the future we'll be able to measure IF in fact a person in a sulphur state HAS more sulphur molecules, because right now that's never been tested/measured.

Dr. Martin Chaplin in London, best water chemist in world

Hahnemanian method: moving drops to new bottle with fresh water/alcohol+succussion

Korsokovian method: adding drops to water/alcohol in first bottle, succussion, turn upside down, remove cork, let liquid fall out until surface tension retains 1% of original liquid, refill bottle with water or alcohol, repeat
[ 3.3% is amount left in bottle from gravity, extra shaking is needed to get it down to 1%, able to do in the lab]

Remedy markings;
1cH - used Hahnemann method
1cK - used Korsokovian method

Always use cork tops. Plastic can leach chemicals into the container. Others use rubber or silicone.

What about non-soluble elements like Silica?

Lactose is incredibly non-soluble, can wear down iron! Mix 1 part of graphite (video example) with 99 parts lactose. Add to ball mill where powders are ground around and down by pieces inside ball mill.

Gold is triturated in water because it does not ever dissolve.

We have no proof or idea whether or not the psychological state of the person making the remedy effects the remedy itself.

Sankoran - often recommends homeopaths should improvise, to the detriment of the homeopathic practice- but he has practiced since 5 yrs old, it's like telling violin students 6 mo.'s in should improvise, but it would work much better if they had learned for 10 yrs before improvising. Sankoran cannot imagine being a beginner since he started so young. [opinion of MQ]

Hahnemannlabs.com

potencies
1:100 1C, 2C, etc. {** starts as 1:100, then 1:10000, etc.}
c=100

1:10 1X, 2X, 3X
x=10

LM- 1:50,000
'quintessimals'

You go from 1mg to 100 mcg using "c", you skip over the 1 mg you can get with 'x', so that's useful for smaller specific doses

There are always impurities in water, in elements- there is no such thing as "pure" sodium chloride. Even reagent grade (used by chemists) contains impurities, but that is accepted as the best possible available- the remedy is made from the thing that is most available.

However! Why aren't lactose or alcohol symptoms added to remedies made from them? We don't know.

"MT" Mother tincture, a term from alchemical studies (?), represents the first 1:10

LD50= 10 mg/kg for Arsenicum Album
('LD'= dose which would kill 50% of people)

FDA - 1906
Created to determine that herbal medicines were pure and unadulterated (and that they were what they claimed to be)
1938 Senator from NY added a component specifically allowing homeopathic medicines (was also a homeopath) name Copeland
- Drugs, not remedies (no official definition of remedies)
- No allowed combinations with non Homeopathic drugs
- Labeling
There are pharmacies and other people who are meddling with homeopathic remedies- putting them in vitamins, or mis-labeling selling supposed homeopathic remedies without a clue on how to make them.

FDA is troubled because unable to test/verify remedies past a certain potency. So your professional ethics need to be 100% squeaky clean to make up for that, you need to ensure the remedies you give your clients are good.

FDA does not test the efficacy of homeopathic remedies either, unlike valium etc.

Similar to IV solutions, you cannot test them for efficacy and unable to visually determine what is in them.

Hahnneman labs uses pharmacy witnesses, to ensure that each step of the process was done correctly, as that process has been proved to work.

Radionics/Sell tech (Seltek??) do not make remedies according to Hahnemann's method, used 'radionics' method which does not involve dilution/succussion. They have a machine built that makes a remedy, has not been tested. It isn't recommended, but some people have said they work.

Many medicines being sold as 'homeopathic' and marketed to public contain a group of remedies combined to cover many generic symptoms. These have not been tested as a new combined remedy, so you cannot measure or know how it will work. It just isn't 'classical', but that also doesn't mean they are totally ineffective.

...................
Afternoon: dosage

- 30c or 200c potencies most often
- unlikely to have negative impact on acute cases
- start with 30c potencies, go from there

3 methods of delivery
- internal - digest it, pellets or liquid
- olfaction - open remedy and breathe it in
- topical on skin
   - can put it in water, put on cotton ball, dab skin

H says olfaction is the gentlest way to give a remedy.
Can do it just as easily with pellets as liquid- some is released every time the bottle is opened (remember pharmacist story)

Very acute case: no change in 15 min, try another remedy
Acute case: if no change in 1 hr, try another remedy
Def change: energy level change, diff in feeling better/worse, something they feel, or something you observe- if you have to guess it isn't the right remedy
An aggravation in an acute from a remedy will last a few minutes and Everything will get worse, the fever the nausea, etc. but it will not last

posology: science of DOSING
 - incl's what potency to give
 - what method of administration
 - freq of repetition

Aph 63
primary reaction is the reaction of the patient to the first dose
the reaction of the body after the first dose is the secondary reaction
[ opposite in gen practice: primary reaction is reaction to medicine, secondary reaction is only a 'side-effect' and isn't dealt with by the MD]

Saturday 11.8.08 class notes

11.8.08 Saturday

Musculoskeletal issues

Rhondalynn: broken tailbone: Hypericum: nerve rich injury, < touch, <pressure, coccyx & periosteum, aggr. by childbirth, spinal trauma

Mark: twisted ankle: Bryonia

Mark: stiff neck: Rhus. tox.
............
Homework review: Mind repertory

Progression of steps, gradation of characteristic symptoms
- Impt to understand minute subtle differences between rubrics

1. Jealousy- association with emotional thing
Envy - association with physical things

2. Company, aversion to/ Spoken to, averse to being
wanting to be alone vs. wanting to be quiet

3. Thinking, aversion to/ Dullness
not wanting to think vs. inability to think

4. Discouraged/ Indifference
Distinction in level of caring, discouraged people care, indifferent people do not care

5. Dream, as if in a/ Unreal, everything seems
Dreaming is unbiased unreality, feeling of unreality questions whether that should be or not- puts a judgment on it

6. Success, never/ Undertakes many things, perseveres in nothing
lack of success, failure in achievements
one fails, one fails due to lack of effort or persistence

7. Stupefaction / Indifference
stupefied is to be stunned or numbed, as opposed to uninterested

8. Religious affections/ Superstitious
Def of religion includes a community, book, philosophy
Superstitious- no community or single philosophy
Not relevant to judge, only to determine whether or not it limits the person

9. Sulky/ Weeping
moping, withdrawn vs. crying
both seem upset

10. Remorse / Anxiety, conscience of ( as if guilty of a crime)
One is regret of action, one is worrying about the consequences
.....................

Afternoon: case taking
- It is quite important to have the healing and welfare of your client foremost in your mind.
- You must start each case with a fresh mind, it's easy to associate one remedy with 'sprained ankles' when in fact there are many- so keep an open mind, even if your mind wants to immediately associate it with something you've seen before.
- Impt to track and major mental or physical shocks in patient history
- If patient has an injury which never healed, it becomes part of their landscape
- Any prior treatment the patient has recv'd

Jody: Insomnia

Saturday 10.11.08 class notes

Allen: Case taking

Purpose of case taking: gather info that defines state of client
- defines pattern of disturbance of the vital force

- consider your discomfort in being around people who are suffering/in pain, get around that
- or trying to prove our competence/intelligence, rescue attempts, getting attention: these are all things we may let into our client relationship but should not
- we are not there to be their friend, they are there to be healed
- we are not there to share our lives/thoughts/burdens, we are not there to create a friendship or intimate connection

Case taking is:
- NEVER about you, it's about the client

1777 Hahnemann enrolled in a school in Vienna, new medicine techniques
- back then medical training was all theoretical, no actual practice.
- new idea of studying medicines in addition to studying patients
- idea of developing a body of medicines that were tried and proven

Case taking
- Impt to listen, do not interrupt
- avg physician interrupts after 17 secs!
- our culture Interrupts constantly, it's a habit we need to break
- Learn to listen with attention and patience
- Do not channel or change what client is telling you
- Good to repeat back to make sure you are not misinterpreting what the user said
- you can reserve note space for your stuff, your observations of what they are wearing, or physical habits, or how YOU are feeling, just to clear that out of the way. You can discharge your reactions to people that way: if someone says anything upsetting, or if they are an asshole, etc.
- Your notes are a LEGAL document, so write carefully and not carelessly

- If possible, collect information from others
- "FOC" FIrst office call diff from "FUV" Follow up visit
- Acute complaint: 6wks or less that has spontaneous resolution or person dies, only things that relate to the acute event (ignore chronic complaints unless it has flared up or related to acute complaint)
- FOC is to take an impression of the whole person
- Next visits are to determine better/worse than before, was your remedy fully effective, must quantify results. Also identify any new symptoms if they have come up.

- How do you deal with the pressure of a client who is your bosses son? Or they really need help and are relying on you? Or someone who doesn't believe in homeopathy, but is desperate?
- IF you do not deal with these stressors, you will end up dreading going to work each day.
- It's important to create an environment where the client is FREE to emote intensely without having to deal with your reactions.
     - We do have physical reactions which are difficult to control, outside of verbal responses
    - You will learn your own limits, and your own personal reactions, and can then predict them and work with them

- Be aware that your personal needs will cause you to IGNORE something the client is saying
   - Your need to be right, your need to be heard, etc.
- Bottom line: It's not about you

..............
John Burns: Case taking

- We don't treat diseases, we treat people.
- That's not 100% correct as we treat diseased people, who are in a diseased state

- It's not always easy to determine what is "diseased", to define that
- There has been a progression from health into a non-healthy state, that is what concerns us
- Illness starts on an immaterial plane, hard to define- on a 'spirit' level, not spiritual
- What is 'dynamic illness'?
    - has at least three things we can understand:
    1) mental/emotional component
    2) change in thermal temperature: whole body, or part
    3) it gets worse over time - might subside and then spike up higher
- there are illnesses that are not dynamic, they have mechanical causes (ex: shoulder pain from sleeping badly on your pillow)

- First order experience- the type of info we need to discern, it often needs to be drawn out of a person, especially if the client has lived with a pain for so long they don't think about how their pain is unusual.
- Looking for symptoms which are: Intense and/or Frequent
   - Those are the things that point towards disease and enable you to find an accurate remedy
- In a chronic case need to discern between things that happened in the past and things that continue to happen
- It helps to concentrate on the most recent symptom, as it is easy to become overwhelmed by symptoms from the past
       - "recent" could be within the last year, or two- the intensity is more important than the specific timeline
- Two ways to take a case: structured and unstructured. Can be a stream of conscience type of thing, or can be more organized.
- Can help to ask people to show you where it hurts, etc.
- It's difficult to learn how to ask indirect questions, to retrain yourself from leading or y/n questions
- Modalities are extremely important
- It's good to narrow the focus if the patient strays into generalities
- These questions are still hot in the homeopathic community- it's still evolving how to deal with patients, how to ask questions, how to deal with mental/emotional components of disease without being a therapist, etc.
- A big challenge is when patients DO NOT tell you something, and you feel it or think you know it- but they don't actually say it. It's tricky not to project your ideas on them.
- Each chronic case has a mental/emotional thread that often goes through their entire lives, the challenge is to find the story

** One of the biggest problems today is the heavy slant towards mental/emotional issues: it's over emphasized
** You MUST ground yourself in the physicals in the case

- Growth as a practitioner:
   - at first it was much more important to be liked, to have the client think well of you
    - confidence takes over a while, and that helped remove the anxiety of being a new practitioner

Mentors: You should consider having a mentor your entire career, a supervisor- NOT just the first few years.

- He and a friend started an independent practice, sharing the rent a month after graduation.
-Homeopathy really is about pattern recognition [people really do get sick in an 'Arsenicum' way, for example]
- It's important to remember that we ALL flail, and when we get to that point it''s important to return to the absolute beginning of the case- try to start over/see what was missed and go from there

Sunday 9.14.08 class notes

9.14.08 Sunday

*note from yesterday: add to Barbara a conclusion that she had a fear of being ill

*we are like icebergs, with the tip showing above the water line. after a good remedy the waterline drops and more of the person's topography is visible to the person- you cannot see your own delusions, even with a knowledge of homeopathy.

Critical thinking and Pattern recognition
Using Cognitive Skills and Professional Dispositions to Become Effective Homeopaths - Karen Allen

* learning how to think critically will serve you more than memorizing Materia Medica
* only learning facts will not help you become a successful practitioner
* How do our brains work?
* what do we do as humans in the way that we think that serves us well or interferes in our ability to be homeopaths
* 20% remedy does act, symptoms same, or even worse from body's reactions plus extra symptoms body brought forward from remedy, or unable to find an accurate remedy for a client
* 80% get better, 1/3 get profoundly better, rest show improvement/relieved/better/met health goals
* these are the statistics to aim for after 1-2 yrs of practice
* great majority of people should walk away feeling that it was a good experience
* 1/3 of clients I have found similimum for them, others get close remedies, maybe not the similimum
* Goal: be in dialog with the vital force

* How am I going to be conscious of the decisions I make? Especially so I can go back and re-think decisions afterwards

Pattern Recognition Basics
* 'Like cures like' is dependent on finding the pattern that fits the client- their state, found through case-taking and analysis
* every remedy has a pattern, found through clinical trials, provings, accidental poisonings
* important to become comfortable with NOT KNOWING
* there will be pressure to know, to perform, or to feel like you know- but you cannot always do that, ego gets in the way

* what are patterns?
* mirror arrangement, multiples of 3, increase of one element, alternation with one repetition (red, blue, green, blue, etc.)
* we live in the land of multiple possibilities
* it's great to live in the land of Zen Beginner's mind
* in homeopathy being right is not at all helpful, you can justify why a remedy is right- but if it doesn't work it is not useful
* a remedy either acts, partially acts, or does not act
* it either gets in touch with the vital force or it does not
* a remedy can be 'reasonable' or 'not reasonable'
* cannot know until the person takes the remedy
* pattern matching is a simple task when patterns are rigidly definable without ambiguity

* as it was mentioned yesterday it is better to collect ALL the information during an intake, and then sort it out later- like the sand and the pebbles example

Complexity Matters
* causality: similar to the etiology
* some people are better or worse from interactions with other people
* as the complexity increases, the challenge of matching it increases
* pattern matching is simple, pattern recognition is extremely complex
* if we think of the pattern of weather there are normal variations in regards to months of the year, or Northern vs. Southern hemispheres, some summers are wet some are hot and dry
* weather history may determine the expectation of the pattern, which also determines the allowable variations
* remedies have the same variabilities of this example

* pattern: a form, template or model, or an abstract of rules that define an entity. A pattern allows the entity to be built, recreated or perceived. The built or perceived entity 'exhibits' the pattern. It can be named
* patter recognition: is much more difficult, data is more ambiguous
* recognition: detection of underlying pattern through checking for the defining elements of the known pattern. More complex than pattern matching because the patterns are less well defined; test data ambiguous.
* YOU NEVER SEE THE WHOLE PATTERN, if you are lucky you see a clear image, most often it's difficult to separate pattern from background
* rules: a regulation, law or guideline that is always true for a pattern. Within a pattern definition it represents an invariable fixed point. Good for chess, less useful for homeopathy
* example: a case in point for a pattern. A def can be built up through the accumulation of many examples. Not exact enough for chess. This is how remedy states are learned- e.g. all Aconite provings and clinical experiences
* Analogy and Reference: a description of something else that has the same features or character a the pattern being defined. Not useful at all in chess, but used in homeopathy to understand comparisons of remedies- Aristolochia a Sepia + Pulsatilla
* during a proving you have supervisors, they take an initial in-take prior to the proving in order to weed out the symptoms that existed prior to the proving
* people speak in the language of the state they are in during a proving
* patterns are defined by rules, examples, analogy and reference

Definition allows:
* recognition: we can identify those entities that exhibit the pattern. E.G. Pattern= stripes. We recognize American flag, zebra, tiger, geological sedimentary striations in this pattern
* generalization: based on the defined pattern, we can form a hypothesis of any other entities we might find which exhibit the patter, E>G> Pattern- waltzes. We recognize Blue Danube waltz and can also detect or create Three Quarter time in other pieces and conclude they are waltzes
* abstraction: we can separate the pattern from the entities that have it, and use the concept separate from the entity. EG Pattern= potato-ness of remedies
* abstraction similar to an archetype- 'chair' vs. implementation of a chair with arms/no arms, back no back- essential defnition may be 'able to sit on it'

What is or is not Included in the Pattern?
* assume a pattern called 'Greet Friend' which involves recognizing a friend and saying 'hi'
* impt data is identity of friend: friend an be dressed in anything; in any location; in frontal or profile view. These background details are not part of the relevant pattern.
* In a variant patter called 'Greet Customer' the impt data is the LOCATION of the person entering a store. Again, clothing and angle of view is unimportant. In this case, the identity is also unimportant, but location is not important.
* Separation of pattern from background is crucial
* ex: Elliot and his comment about wanting sex many times a day - was not impt for him because it didn't have a negative impact on his life, fit into standard deviations for his life, was not breaking up his marriage or anything else, so it was determined to be not as relevant, it is impt to look at his culture (gay) to determine the CONTEXT
* if you don't determine the context, you will surely project your own pathology on them
* very difficult to work with people from a different culture, if you don't understand the idioms and expressions, makes it extremely difficult to determine the common from the characteristic

Patterns are Formal or Informal
Formal: chess
* Formal Patterns are like a chess game: rule oriented
* each piece can only do what it does
* each piece of data is useful
* complex with known variation
* you know who is on or off the board
* fixed rules apply and are non-intersecting (no royal pawn or gay king)
* complete pattern always present

Informal: homeopathy
referential, based on example
complex, unpredictable variation
no fixed rules, no fixed points
partial pattern is the norm
subject to interpretation and distortion
information given is both relevant and non-relevant- requires sorting
multiple possibilities

Chess vs. Remedy examples

white queen checks black king:
decide action
many finite options
every option is known
value of each option an be compared
multiple reasonable solutions are equally acceptable
no spurious data to distract decision making

man falls down stairs; contusions
decide:
 remedy state may be acute or chronic, mult therapy options
every remedy option is known, but case presents only part of remedy
there is much data unrelated to the presenting stimulus/response that is relevant for remedy solution
did he lose balance from x? or just trip? poor eyesight?
indicative of cases: people may come in as clients at top of stairs, as they are starting to fall, half way down the stairs, or after fallen

Remedy Pattern Definition
* remedy patterns are defined on vairous levels
* modality: what causes a symptom to alter? better/worse from temperature, motion, time, locations on body? etc.
* physical symptom details- modality, location, sensation
* idiosyncratic presentation of SRPs (STRANGE RARE PECULIAR)
* misasmatic affinity
* themes of mental/emotional state
* concomitant- symptoms that come along with each other, their link forms a recognizable pattern

* the full pattern in complex and extensive, and will never be seen in full in any one case. the pattern encompasses the full remedy state
* fish bowl: man gets up pees, vomits, pees- everyone thinks they are normal
* ex: SRP : lady who sat on couch who felt like a Sheela-na-gig
* people are really idiosyncratic, if you can get people to tell you about theirs you will get information that is great for finding remedies
* remedy patterns are connected to miasms

Remedy State is Pattern
* Remedy state is a definition of all entities that exhibit a representative pattern of symptoms
* Remedy states overlap with each other
  * same symptom in mult remedies (lyc and Chel: <R side)  ["<" symbolic of LESS WELL in homeopathic shorthand]
  * same symptom, increasing intensity (fear in Ars and Acon)
  * same miasmatic pattern in mult remedies (Calc and Sulph) - same predispositions for certain problems (ex: skin issues that cause skin to flake)
* Remedy states have remarkable variation within them
  * Imagine a Platina shy little 4 year old with recurrent UTI
  * Imagine a Platina 42 y.o. gay man with trigeminal neuralgia
  * Imagine a Platina 17 y.o. teen boy with eating disorder

Remedy States are Complex and Ambiguous
theory: value pluralism
"To understand is to perceive patterns" Isaiah Berlin

Inventor of Value-Pluralism
* moral life of a nun compared to a life of a mother- both are equally morally valid, neither is preferable, both are valid
"The idea that there are several values which may be equally correct and fundamental, and yet in conflict with each other.

Pattern Recognition
* a science w/in the field of machine learning: 'the act of taking in raw data and taking an action based on the category, lass or state of the data'

Bayes: Success Probability
1701-1761
* valid diagnosis can be made based on successful past prescription
Bayesian probability: a measure of the degree of belief that person has in a remedy

Occam's Razor: Simplicity Wins
William of Oakham (1285-1349)
* best pattern avoids any complicated explanations
* free of unnecessary assumptions
* risk of taking it too far, being too simplistic "everyone who sprains an ankle needs X"
* good to have mult reasons for giving a remedy (Lynne- at least 3, ideally 5-7)

Remedy Recognition
* Referential, not rules: fixed points are unrealistic expectations
* Characteristic features occur on levels of Boulder, rock, sand and silt. Most data about remedy states is sand level
* Directionality: we are determining if the case exhibits the pattern, not if the pattern exhibits the case
  * Compare from the case into MM, not from MM into case!
* Multiplicity: there will always be indications of mult remedy states in each case; differentiation must be rigorous and free of unnecessary assumptions

Bias Prevents Recognition
* Recognition must be based on the match between the elements in the case and the known pattern of the remedy
* Expectation, bias, agenda, conjecture all interfere with valid pattern recognition. These problems often result from confusion about which data are "useful" and which are "irrelevant"
* Research consistently confirms that expectation influences outcome

Recognizing Partial Patterns
* threshold: a minimum point beyond which a condition is met. Used in electory (sp?) policy, laser technology, sensory perception
* recognition threshold: how much of the pattern must be present to be recognizable? how much of an elephant do we need to see to recognize it as an elephant?
* requirements of an acceptable solution
 *consider bell curve of response. similimum will act most profoundly, but several remedies will act. Find reasonable remedy
* match enough elements to decrease uncertainty to an acceptable level, decision is made on preponderance of data. Is there enough of a match to feel confident this remedy will act?
* Prioritize individualizations: modalities, SRPs, sensations, most limiting. Focus on the pattern, not in the background.
* Conflicts when "boulders" match a remedy and "sand" matches another remedy
* Some cases are indeterminate based on the data provided. Ask more questions, Get the full case.

Pattern Variation
* expect a remarkable variability in presentation; forewarned is forearmed
* eliminate expectation of fixed points, it's not chess
* learn variation w/in remedy states. the variation exists just as much in the remedy states as it does in the client case presentations
* in variable patterns it is crucial to *stick with facts* and avoid assumptions

Case video: Leroy
* write down verbatim what he says, think about symptoms
* 2-3x per week practice listening, write down what they say w/out looking
* watch person's mouth as they speak instead of eyes
* focus on nouns, verbs, adjectives, ESP adverbs or idiomatic phrases

have sore throat- stretch throat
sailing w./ gf
moving, stretching
friends w/boat never done it before had a gt time nothing was wrong that day or night
but next morn I woke up had a surprising sore throat
sort like getting a chill it was windy that day
came on suddenly
also been having fever because of this thing
been pretty bad- movement
the whole pat of body, hands moving, awful
can't sit still
try to rest and get thins thing out of system
get in bed have to get up and do something
terrible have to do something
much more anxious about things than I usually am
not a prob for me, not an anxious person
I feel nervous about things, can't sit still

ads adverbs, srp? again:
sore throat
never done it before
great time
nothing wrong w. me that day.night
surprising sore throat
like a chill
came on suddenly
fever because of this
pretty bad
whole part of body is awful
can't sit still
trying to rest, get out of system
can't lie there (in bed) have to get up to do something, terrible
worked up
anxious about things than usual
not anxious person
feel nervous

* This is an acute case, as opposed to yesterday which were subsets of a constitutional interview
* Three categories: common; general: mental or emotional circumstance; particular
common:
sore throat/ fever

causation:
sailing/windy/chill
sudden onset, started in morning, woke up with it
OBS: sigh, restless moving
Head - no gesture

general (applies to entire person (I am hungry, I have fever):
can't sit still/lay - restless
anxious- not usually anxious
feels nervous about things

particular (applies to piece of person):
sore throat - surprising, sudden
fever - whole upper body feels awful

Remedy: Aconite
* exposure to wind/chill
* sudden onset
* restlessness/anxiety

Second video for Aconite case:
* Identify what is different/same
* this is a chronic case

video:
closed eyes
anxiety disorder
had since little, as long as remember
anxious, restless generally
moments as kid intense, once per year, not often
nervous laugh
I knew people could die, was afraid, still have fear I am going to die
anxiety comes on: I could die, repeat, anything
infrequently as little
live w/family until 18- college
had roommates, came on a little more frequently
disorder: anxious in gene, manage pretty well in every day life, feel feverish 104-5 temp spike
feel sick in chest, feels hot
feel like I'm going to die in a moment
do not feel safe, even on couch, anywhere, no immediate danger
temp raisings in body
happened infrequently in college
married after college- always living with somebody
husband always there
couple months ago husband started traveling, became worse, more frequently
left alone at night = trigger
in a small space- walk in closet, ok with door open, not w/door closed
freaked out
small cars- cant get in
worst - in bed at night
* wind at night
irrational, a feeling that comes on
Welbutrin is how manage, has helped, not w/latest increase
gone a couple nights a week husband gone
feel coming on a couple days before he leaves
not full fledged attack,
comes on full force when he's gone
unable to manage it or prevent it
anticipating attack
open with husband about feelings
he is supportive, isn't afraid of attacks, doesn't hurt relationship
feel lucky w/him
so happy for his career, he is passionate about it, promotion, he loves the way he's working
terrified this job will mean 1-2 nights or more gone every week
really scary to me
I wouldn't stand in way of his career
very important to me to not emotionally ask him to take care of me
don't want to be dependent or clinging wife
don't want a caretaker, even if it is practical
want it to manage it, have it go away, have it not be a big deal
do not want it to go away by changing my life any more than it already has
first thing: feeling like/thinking I am going to die
panic thought, very big
feel overtaken
heat in chest, steam rising
face flush, fever, temp goes up, can't breathe
same time heart palpitations, heart beat really fast
lasts 2-3 min or hours
mouth and tongue go numb eventually- relief because it's going to go away soon
frantic, overall,
body is restless, can't do anything - that stays there
see therapist for verbal skills
try not to think I'm going to die, "I'm alive, I'll get through this, will pass"
comes on at home
first impulse, how can I make this feel better?
intensity and anxiety leads to impulse to move- walk it off
get dizzy, vertigo
I don't know where I am
feel like I will fall over immediately
must sit down, stay where I am, let it pass, cannot move
comes on while sleeping, no immediate trigger
I wake up with fever, heart fast, I'm going to die immediately
when it goes it's 90 to zero, fast over
having people around helps- feels calmer
including cat around
feel calm most of time
only time cat is not enough is at night
absolutely night and day, huge difference not having someone there
very thirsty a lot
always drinking water, ice tea, fridge water
hikes a lot
when you die it's DONE, final, feel it in body so clearly, especially in midst of an attack
the breath goes out of me, and it's over, breath does not come back
terrifies me
thought always there during attack, not during everyday life
very scary
don't believe in life after death, extra real during attack
7 MINUTES
sick, get sick really quickly
2 hrs cold onset hardcore
goes away and it's done, no lingering symptoms
most of time healthy
febrile seizures
sick now feels like febrile seizures, sudden onset, hot, then done
never relax, never can relax - every day
always been like that
born restless, always moving in my soul, not from outside source
relaxing not natural for me
always moving under the surface

wind: never stops, nature to always move, feel that feeling under my skin

*NOT POSSIBLE to separate the case from your experience of viewing it, forever meshed
*own that, be aware of that, impossible to remove it but it is ok to know it and try not to let it be a problem

Appearance/ Observe: FEAR
hands in front/around face
anxious/jittery. Closing eyes/ look down
Childlike
Spoke very quickly/fast
Learning fwd - earnest/talking about upsetting things, would slow down speech/articulate
Almost a smile/laugh like nervous- maybe like she wanted to cry but did not. Sweating?

Response/Reaction: Feeling anxious, felt reaction to her desperation- feeling how important it is to help her! Could feel her living that discomfort. Feeling compassion. Like when the wind blows window open and scatters all your papers! How could I keep up this intensity for 2 hours?

DATA of case
General:
WIND- anxious, restless like the wind
FEAR - I am going to die, predicts time death
TERRIFIED
Fever spikes -104-105 (hx febrile seizures)
Feels the fever w/the fear
> company, <<<<<alone
Feels "overtaken"
Thirsty
Maintain independence, not clingy wife
Restless in her soul- continual
Discrete events - sudden and intense
During fear Vertigo from movement, has to sit
Claustrophobia fear closet, small cars, enclosed
<<night, can't be alone just w/kitty
Does not feel safe
(Interesting- talks about soul, but no believe after death????)

Particulars:
Steam rising through chest w/the fear- flush heat
Heart palpitations
Mouth tongue become numb- when ending
Like a flush of heat
Feels like she can't breath
heart palpitations - zero-90

* Elements in situations: air, fire, earth, wind
* The lady above has WIND issues: breath, the wind at night
* Yesterday Barbara had WATER issues (boat), and FIRE (burning in stomach)

SIMILARITIES btw videos
* ACUTE remedies: must focus only on the changes since the onset or causes of current symptoms
* CHRONIC cases: everything is fair game
* "acute exacerbation of a chronic complaint" - a 'flare up' of something that has happened before

** notes on board

* What are the boundaries of the case? What you include is very diff btw acute and chronic

New video Rachel:
close eyes with emotion
realization you don't control/cannot conquer everything/mortality
death of you and world
tears w/ emotion
not knowing what's going to happen
obs: numb, shock
feeling not happening to me
why in NY? what am I doing with my life? what am I doing when I don't know how much time is left
gradual onset- couple of days
not scared of city, not comfortable any more
unsure of what would happen if I went ot the city
1.5 wk before going back to wk
couldn't stand the subway
worries: anthrax in subway, wars
incredibly sad, disturbing because nothing happened after that, only scares
became very tired
nowhere safe anymore, not in NY , not in US
nothing can make sure that won't happen again
obs: anxiety, fear
living in NY didn't work, had to leave, not connected anymore
late night, just fallen asleep,
hard to sleep lately
keep thinking about how it all fits together
anxious
hard to breathe
pain in BACK NECK, into arms
can't tell if it's real, feels physical
burns
getting up/stretching/trying to relax/get tea/PT
lasts 30-45 min
>tea, walking at night
keeps coming back
pain wakes her up
worries: seriousness of pain, fears wheelchair, fears permanent or morbid condition
hard time imagining a serious illness
12-1am re occurrence
obs: touching shoulders/neck a lot
exhausted
harder to stay out with friends
felt like fighting cold, warm sun
bag looked heavy in car
cool apt felt good
closed eyes for min, slept in car for hour- unusual, then came inside and slept another hour
next day sick with cold
usual cold does not impact ability to anything
can't get out of bed
always COLD
don't sweat
thinking about death
not really afraid of death, but doesn't want it to be right now, doesn't want it to be painful
I don't want to die from burning, from terrorism
scared of being helpless, know you're going to die and it will be painful death
financial issues bother me: money symbol of power and control over other people, you have choices if you have money
disgusted by black banana, dirty soiled person, like 'eating feces'
money issues make her think of that guy, she doesn't want to be like him, fears no money/insurance/home
allergies: second week of March/Japan-NY-Alaska-Seattle hits anywhere
bee pollen didn't work
face filled with snot, sneezing, watery eyes
> staying indoors
from sweater next to her, or from across room will start reaction
face reaction: tiny bumps
not a chocolate person
likes sour candies, vinegar flavors
unusual to be relaxed, usually more meticulous about dressing- lot of thought/energy into appearance, stylish
haven't been myself
cares about job, want people to be satisfied, wants them to be comfortable by me/grooming
professional, wants good reputation, wants to be conscientious, responsible, reliable
isn't perfectionist, just meticulous
wants control over some things, not all things

OUR Response/Reaction:
Felt very still- collapsed
Sadness- she is haunted
Feeling hurt/anger/angst/grief

Appearance/Observe:
Flat presentation/affect until talking about being COLD
Seeing tension in the neck
Deep sorrow/grief, closed eyes, difficulty speaking/breath
No Safe place
Issues with money and illness
Touching/rubbing shoulders/neck- gesture almost like hugging herself- self comfort?
Sighing, breathing not easy.
Worried facial expression- distress. Can't control.

DATA of case - CORE delusion: NOT SAFE
Generals:

Particulars
Elliot- short attn span, better w/cold drinks (her hot), excitement projects, burning stomach 2/3 hrs after food- hers burning neck/back/shoulders 12-1am for 30-45min, both worry about global issues, he improved with company not her, he doesn't like to be alone, both enjoy travel, he has no allergies, he was not overwhelmed by pain- she is, he was concerned w/opinion of others, BURNING pain for both, gullible/trusting for him, unable to trust for her, both were more methodical speakers, he liked spicy & ice cream, she likes sour/vinegar, high stimulation for him, withdrawn for her

Barbara- efficient time mgmt, both concerned with doing good job & taking care of others, both hot tea drinkers, both > from warm liquids for pain, pain both at night, walking helped both, both interest in financial times, sour/vinegar for Rachel red wine for Barbara, sleep disturbance : exhausted, impact on job, Barbara every other night after quitting Rachel was every night- periodicity, Barb no allergies/Rachel yes, both rarely smiled, Barb liked complexity not Rachel.

Conclusion: Rachel and Barbara are most similar
....

FEVER REMEDIES

ACONITE: restless/agitation/anxious, central theme of tension, sudden onset, brought on by WIND or COLD, face will not be flushed and appears pale or only flushed on one side, if it doesn't work in 5 min it's not the correct remedy, anti-inflammatory, acute: best in the beginning within the first 24hrs of the onset, not so good after that time, different for chronic. EX: Skiers who come down with a fever.

BELLADONNA: primary connection is the Circulatory system, etiology: exposure to the sun, excess of yang energy, sudden onset, heat radiates from face from congestion of blood, disturbs circulation, disturbs sensory function, pain from bright light or loud sounds, jarring sensation from taking a step. EX: Kid plays in sun all day, SUDDEN ONSET, flushed, fever, bright lights pain.

FERRUM PHOSPHORICUM: gradual onset, second choice if you give one of the other two fever remedies and they are not effective, nothing remarkable about it except RED circles on cheeks like a blush

Saturday 9.13.08 class notes

9.13.08

Intro - Karen Allen

Homeopathy: A system for treating disease based on the administration of minute doses of a drug that in massive amounts produces symptoms in healthy individuals similar to those of the disease itself.

Intangible vs. Material

• Many medications are made from a physical material source- plant, veg or mineral
• Our tools that interact with the Vis or Qi are intangible
• Is effectiveness really based on how tangible the source is? If you cannot touch it/see it, etc. is it real?

Physics

• Newton explained energy as an attribute of an object, a very linear concept.  Reductionistic. Disease or dysfunction is attributable to a malfunction in a production line.

Quantum mechanics: 

• Extended ideas of how universe worked to atomic and sub-atomic levels
• Now it's theories of bodies and waves, much less linear and material. 
• Reality is that particles may be both a body and a wave. 
• Matter is suspended in energy.  
• Physical bodies are complex web of feedback and cross talk. We react unpredictably to drugs because of the complexity.

Tsong: 'Language of Cells'

• Environmental signals translate into cellular behavior
• 1989, receptors are open to energetic
• Non-material signals (light, sound, radio frequencies)

TO READ: 'Biology of Belief' by Bruce Lipton

• The notion that cells can only be impacted by physical molecules is outmoded, must accept that biological behavior can be controlled by invisible forces.

Martinek and Berezin

• Light and color affect how enzyme systems regulate biological activity
• Colors of light can stimulate enzymes to be 500% more effective

Albert Szent-Gyorgyi 

• Enzymes and hormones are colored and sensitive to light
• Light striking the body can alter basic biological function
•   Explained how it works with sub-molecular biology 

C.W.F. McClare- biophysicist

• Energetic signal mechanisms are 100x more efficient (electromagnetic frequencies) in relaying environmental information than physical signals such as hormones

Why would this be so? Class Exercise

• Physical barriers reduce effectiveness
• Energy travels faster, size of energy is not related to size of cell, etc- a small small particle may have tremendous energy and sphere of influence
• Physical medicines have single purpose, energy can heal more broadly
• Energetic signals are more subtle than the gross material things, the subtle communicates with what already exists in the material
• Physical reactions are based on chemical reactions: bonds made and broken by cells, these bonds require energy to make or break

Descartes, Rene: Ghost in the machine

• Only matter can effect matter, so how can an immaterial mind be connected to a physical body? Do we treat the body only as separate from the Vis/Qi?

Hormesis: microdoses

• A dose response phenomenon characterized by a low dose stimulation, high dose inhibition
• We use doses that are on the sub-molecular level
• Demonstrable example of the concept
• Used for Alzheimers and to boost immune function to prevent diseases in people and commercial fisheries

Placebo?

• Has been used on babies, animals, people in comas which discounts the argument that homeopathy are just sugar pills
• Moseley 2002: Proved surgery can have placebo effect by treating knees with "fake" surgery
• Brown University 1998 recommends placebo should be first treatment for mild to moderate depression
• Clinical trials for drugs commonly show placebo results equal the drug performance

* Every healing suggestion you can give to a client is beneficial, everything helps.

* Handing a client their remedy with a touch and saying 'I really believe that this will help you' helps

Diagnosis

• Only diagnosis you could make as a homeopath is 'you have a disorder of your vital force'

• List of external, measurable symptoms

• Grouping of symptoms into body regions: GI, respiratory, musculatory/skeletal, etc.

• Often a diagnosis is a list of symptoms that fit best into one particular label (at least 5 of 10 symptoms under the category)

• Often people have different symptoms for flu in different times, making a diagnosis useless

State

* The equivalent of a diagnosis in homeopathy is a state

* The way that we resonate is our state

* People with an identical diagnosis will come in with a very different state

* Diagnosis is based on what is common for the illness, the state is what is UNIQUE about the person who exhibits the same illness

Two videos of people with the same reflux/stomach pain

* what are we hearing? what are the symptoms, and WHO IS THE PERSON describing them?

Elliot:

* many probs  long history with this from college, is now building and is much worse

* burning, after eating, prior treatment, really bad

* headaches from not eating, flash of lights at night in eyes

* fast paced job, lots of social interaction, new tech, fun

* likes things that are fast, don't require lengthy focus/attention, high energy

* cold water and sleep helps, sleeps well

* hot liquids worsen

* growth spurts over 1 foot  2" in two years, joint aches

* dislikes being alone, likes company and stimulation

* empathetic with lady who was trapped at airport, also with beggars/homeless- feels need to trust them, not always money, gets food

* likes spicy hot food and also ice cream, very rich foods

* dislikes fish/oysters

* high sex drive, constant thoughts on it

* worries: economy in US, world violence, local violence, overwhelming doom and gloom, becomes anxious /uptight

illness

⁃ pain burning - after eating 2-3hrs

⁃ cold water helped

⁃ hot liquids worsen

⁃ not eating causes headaches/light flashes

him

⁃ attention span

⁃ fear of pain keeps him from eating?

⁃ sleep ameliorates

⁃ high sex drive

⁃ social person, likes company & stimulation

⁃ empathetic

⁃ self-conscious about his friend's opinions

⁃ sensitive

⁃ dissatisfaction comes from outside

⁃ instant gratification/ stimulation

⁃ is his personality a problem or is it only so because others judge it that way

⁃ sensorial

⁃ desires spicy food and ice cream

⁃ growth spurts

* The context of knowing the person helps solve the problems

* People often are defensive, men are often unwilling to describe themselves esp. worries

* Look to what is limiting to the person, what is a constraint?

Barbara

⁃ 7mos, cruise/mgmt/travel/FL-VI islands, week into job

⁃ first time on large body of water, uncertain, storms were stressful, not seasick

⁃ lost sleep on water, now on land only every other night

⁃ also in sun a lot, loves being warm- is relaxing, hates cold, loves hot tea

⁃ changed diet, saw dr, no change

⁃ quit job, cannot function, inefficient as mgr

⁃ eat well, sleep well, impt to be healthy

⁃ has things to do, must be efficient, expensive costs of healthcare-want to minimize

⁃ hotel mgr

⁃ likes talking, giving service as job, managing guest needs, managing hotel staff & hotel processes

⁃ treated with antacid

⁃ hot water bottle & walking helped as a pair

⁃ does not go away lying down w/hot water bottle- felt it worsen, go towards throat

⁃ eats mediterranean diet for health, loves pasta, and RED WINE that is tart, olive oils, fruits, eats veggies for health more than taste

⁃ keeps up with financial mkt, politics, economics- invests money, enjoys complexity, finds it fascinating

⁃ exercise: does not enjoy much, runs each morning, makes a to do list each day, 

⁃ does not live with partner, needs order and cleanliness, mess not acceptable

her

Efficient

control issues

should person

disciplined

manager- in job and life

predictability

loves being warm in the sun

dislikes cold

likes hot beverages

heat ameliorates

analytical

wants to be a healthy person

felt uncertain on water, storms were stressful

not warm and fuzzy

results oriented

loves red wine

talkative, likes talking

stomach

burning in stomach rises towards throat

trouble sleeping

started 7mos ago, 1 week into job- did not happen before

walks with hot water helps

happens at night, 2am

limitations

lack of sleep

perfectionism

* When vital force is tilted by stress, we do not necessarily un-tilt automatically

* PERIODICAL- anything that happens a particular time, regularity- has periodicity

* ETIOLOGY- starting event/cause

* Aphorism footnote 81b: disease states are very dissimilar between people who have them, cures are based on diagnosis and symptom across the board. How could a name/diagnosis apply to all people, why use the same word/name for a problem that is different for each person. General names and general medicines cannot work for all people. 

.............................................

Intro to the Organon - Richard Pitt

*Organon of the Medical Art

*Emphasis on the word 'Art', applies to the studies of human beings and their condition, understanding of the whole person

* Everybody is different, their case is unique every single time

* Homeopathy embraces the subjectivity of a person, understanding them via their unique attributes as opposed to what is normal

* Both the strength and the weakness of MDs is the deep knowledge of the part, as opposed to the whole

* The Scientific Method only goes so far with human beings, the narrow focus loses sight of the whole person

* Stat: only 15% of conventional medicines are 100% understood in how they work

* Empiricism, observed results proved the Law of Similars

* The Organon systemized the empiric results, making a science out of it

*1790s Germany is when Hahnemann really developed the study of homeopathy

* Allopathic dosages of medicines based on homeopathic remedies work as well

* Quinine was the first homeopathic remedy

* 1810 first edition of the Organon- 1830 was the fifth edition

* To understand where we are, it is essential to understand Hahnemann's history, and where he was coming from

* H had studied alchemy

* Aph1&2: distinction between healing symptoms and restoring health

* Homeopathy applies a particular law every time a remedy is given

*iatrogenesis* is drug-induced illness, growing all the time in our society

* Primary reaction is the reaction to the remedy

* Secondary reactions are the body's reactions to the drug

* Isopathy is giving a remedy which is the exact substance that caused the problem (like illness resulting from a vaccine)

*Aph71-82 - distinction between acute and chronic diseases

*Aph82-104- case taking, how to elicit information

*Aph105-121- effects of remedies

*Aph122-  provings

..............................................................

Introductions to Symptoms - Lynne Amara

*Para 104, 153, 154, 210, 211 - paragraphs on symptoms

* Signs vs. symptoms

SIGNS

* objective symptoms- lab tests or directly observed

SYMPTOMS

* descriptions described by people of an internal state

* subjective statements 'it's like my heart was broken' 'it's like I was run over by a truck'

PHSYIOLOGICAL SYMPTOMS: 

*symptoms that are not pathological but represent normal functioning

ex: hunger, thirst, urine, vaginal discharge

GENERAL SYMPTOMS

* listening to the language of people

* I am chilled, I am sad- a global statement about the entire person

objective general symptoms: fever, excess or lack of perspiration, incoordination, disturbed sleep

subjective gen symptoms: disturbing thoughts, emotions are distubrnig, vertigo, emotions felt in body parts, desires or aversions to particular things

PARTICULAR/LOCAL symptoms

* part may be expressing the whole? or is only a part?

objective particular/local: discharges from body parts, change of color of isolated bodyparts, ex: red face, change of temp in isolated body parts

subjectiv particular/local: sensations in body parts, ex: catarrh of nose, pain in hip

ETIOLOGICAL SYMPTOMS: symptoms that originate from an exciting cause 

objective etiological symptom: wound from penetrating object, chill from the wind

PATHOBIOGRAPHICAL SYMPTOM

* symptoms that develop as a result of a strong psychological response to a specific life event or series of events- like etiological but of a phsyciological nature

ex: ailments from scorn, mortification, or anger

CHARACTEROLOGICAL SYMPTOMS: not pathological symptoms, since they do not disturb the person's life

objective characterological symptiom: red hair, tall

subjective: cheerful

DISEASE CATEGORIES: classificatons of specific pathology or standard diagnoses

ex: diabetes, cancer

MENTAL SYMPTOMS: symptoms of (Cerebral cortex) brain function

ex: poor memory

obj: answers slowly, picks at lint, hallucinations

EMOTIONAL SYMPTOMS: subjective symptoms of emotional response (limbic system)

ex: mood, emotions 

anger

Common vs Characteristic symptoms

a symptom (or clue) is usually considered common when it is found in almost all cases of:

• a disease category - gen medicine is based on this
• diagnostic category
• a cultural group
• an ethinic gp
• a developmental age
• a specific gender
• a socioeconomic class
• a generation
• esp when the case:
• lacks intensity
• lacks severity
• lacks persistence
• lacks clarity
• not modified
• not well located
• no distinct sensation
• no attached etiology
• extends nowhere
• no periodicity
• no alternation of symptoms

what makes a symptom or clue a characteristic??

a symptom is characteristic when it is strange,rare, peculiar to that person

A symptom is often characteristic when it is a general symptom that deviates strongly from the norm such as:

• a craving (food, sex activity,e tc.)
• a sleep disturbance
• thirst or thirstlessness
• perspiration
• salivation
• a change in mood or disposition

• a symptom is often characteristic when it is strongly modified- when it is distinctly better or worse... at some time
• in some situation
• in some position
• from some activity
• from some thing like pressure, heat, cold, climate, weather, a drink, a food)

a symptom is often characteristic when it represents 

• a theme in the case
• a polarity in the case
• a thread through the beginning, progression and end
• a thread of sequences

a symptom is often characteristic when it is a 

• distinctive sensation
• peculiarly descriptive incl: poetic language or figures of speech

• an irrational fear
• a peculiar thought or belief (delusions)
• a recurring dream theme

• intense delivery
• frequent and empathetic
• repetitious- the tendency to repeat how they are stuck
• persistent
• focused

* START TO WRITE WHAT THE CLIENT SAYS and HOW they SAY IT

A symptom is often characteristic when it points to an affinity for a certain organ or system of the body

Characteristic symptoms form an organic unity, a constellaiton that can be viewed from many different angles and still retain integrity. The totality of characteristic symptoms should represent the energy state.

Video case notes about a brain stroke

Jill Bolte Taylor

brother's schizophrenia

can connect dreams to reality- not connecting dreams to reality=delusion

exploded blood vessel on half of brain

brain process deteriorated

could not walk, talk, write recall any part of life that morning

lost left hemisphere

caustic pain like biting ice cream

pain: grip me, release me, grip me

witnessing myself

headache

body slowed down, rigid, constriction in perception, no fluidity

focused on internal perceptions

detects energy, cannot distinguish arm from wall

brain chatter went silent

then left hemisphere came back online- problem!

then returned to Lala land

felt lighter in body, all stressors gone from otuside world, peacefulness, euphoria

right arm paralized

saw pixels on card

waited for wave of reality

cannot understand language

balloon last bit of air, energy lift, felt spirit surrender-  I was no longer the choreographer of my life

sensory systems pure pain, sounds loud and chaotic, light burned eyes, wanted to escape, felt enormous, like a genie from a bottle, couldn't identify body in space

silent euphoria, found nirvana

we are the life force power of the universe with two cognitive minds, we can choose 

Homework:

View Rihanna's 'Disturbia' video

send assessment of symptoms  to Lyne 

sort common vs characteristic

common= black woman, music video, gorgeous woman