| Does anybody remember the case from last
month? Here it is again with the answer to follow:
Mom, "Bathtub Blues"...is that the best title you could
come up with?
Can you come up with anything better?
Uh...............................no.
Well that's just great! That's just great!
Who hired you anyway? Where's Kelly?
Mom, Kelly's gone AWOL again.
I am surrounded by idiots! Get my agent on
the phone. I need a professional staff. Where's Dr. B?
Mom, Dr. B just sent this message. It says, "Start the case!"
An interesting angle, but, worth a try. OK,
this case is by Shobi.
Yay!!! Is Satchel sick again?
I'm afraid so, Shana..... Shobi filled out
the questionnaire, here it is:
*************************************************
ACUTE CASE QUESTIONNAIRE
1. Onset and Chief Complaint
It came on suddenly, after a warm bath
- the complaint is a raging fever.
2. Etiology
A few days prior he had an allergic reaction
to seafood and sesame, broke out in hives, swelling. The day of
the first fever, seems like it could have been food poisoning.
Everyone else suffered from diarrhea that night, but not Satchel,
just the high fever for him.
3. Sensation
He doesn't mention a pain, but, when the
fever does come, which now we have two days of it coming on, raging
after a hot/warm bath, he does say he is tired and wants to sleep.
4. Appearance
The skin seems to have blotches of urticaria
throughout the day, always around the time he eats something,
especially if it has preservatives or artificial coloring.
5. Location
Fever -- torso and head seem to be the
most hot. It's a burning heat. Dry.
6. Modalities
Fever worse warm/hot bath
skin eruptions worse eating
7. Concomitants
Fever with eruptions and itching, the latter
two come and go.
8. Discharges
Diarrhea once a day, very soft stool. The
stool prior to the warm bath that precipitated the fever was firm
and green.
9. Generals
"I want ice cream!" It was all
he wanted today.
10. Mentals
The same as usual--a pain in the neck!
11. What does the person say?
"I feel better."
12. Thirst/Food
Only wants sips of water and a few bites
of food...the only thing he ate much of was the ice cream (sorbet).
13. Fever
Yes, after the hot bath it comes on at
104 degrees F. The rest of the time it's hovering at 102.
14. Sweating?
No.
15. Odors?
No
16. What is most striking about the case?
No answer.
*************************************************
So Mom, what happened?
I recommended _____________________. Here's
what Shobi said the next day, "A few sips of _____________30C
and we are all better! Incredible! So we are now off to New York,
thanks to you :)"
___________________________________
How did we do this time? Here's the vote count:
Apis-14
Puls.-4
Phos.-3`
Ars.-2
Bell.-1
Eupatorium perf.-1
Total: 25
And so, as you might expect, the winner clearly is................Pulsatilla!
Oh yes, I know, I hear all the groans of incredulity out there!
How can it possibly be Pulsatilla?! Well, I think alert reader,
Roxann, explained it eloquently when she said:
The ice cream clue was a flag - and the
worse from heat thing....
Hey, my sentiments exactly! That's just what I did, I saw the ice
cream--it was all he would eat, for God's sake--and then the "Generals:
bathing, hot bathing agg." confirmed it, and then if you
want that three-legged stool Hering was so fond of, you can go with
"thirstless with fever" or "ailments
from fish"; but, sure, Phosphorus loves ice cream too,
but Phos. isn't worse hot bathing; Apis is worse hot bathing but
doesn't crave or even desire ice cream, so what can you do? The
ice cream was a big red flag. You know about the importance of the
striking and peculiar symptom in a case, right? The remedy has to
match that. Please check paragraph 153 of The Organon, I
get tired of typing it everywhere I go. You know the one--The most
striking, strange, rare and peculiar symptom in the case, above
all else, if you can find a remedy to match that, you are more likely
to cure the case even if it matches nothing else--go look! I don't
want to hear that you don't have The Organon. You know, maybe
we've got it backwards, Dr. B, maybe the losers need the 30% discount
at the Hpathy Book Store so they can buy a nice modern translation
of The Organon--Kunzli or O'Reilly.
And now, let's congratulate our winners:
Pirjo Suomi, Brooks, Roxann Roe, Gerald Field
----------------------------------------------------
This month's winners will get a special 30% discount on one order
of books from Hpathy Mall.
Click Here for
Prize Guidelines
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