Passive Case Witnessing Problem

It’s a case of a 6 year old girl who consulted me on 18/12/08.

The very first peculiar thing we observe about the child is …she enters the consulting room holding mothers hand tightly.

M: She has made a drawing for you.

(Child’s sibling is also our patient. Every time when this child used to accompany her sister, she would draw and now also she has got the following drawings. This itself shows us the child’s intense connection with her subconscious through this form of art.)

M: She does not have any health problem as such but I wanted to start treatment for her overall development.

PASSIVE CASE WITNESSING PROCESS

D:        Tell me what’s happening to you..? Can I send your mother out?

P: No.

OBSERVATION: Clings tightly to her mother.

D:        Okay, tell me what’s your name?

P: OBSERVATION: Sitting in mothers lap with her hands around mother’s neck. N……P……

D:        Tell me more about you?

P: PAUSE

OBSERVATION: Smiles and clings more to the mother.

D:        Tell me what are your interest and hobbies? What you like to do?

P: I like to swim, like to draw, I like running…playing.

D:        Wow! What else?

P: I like to play on the computer, like to watch TV.

OBSERVATION: Now she removes her hand from the mother’s neck and sits leaning on the table, yet she is in her mothers lap.

D:        What else you like to do?

P: Like to go to school.

D:        Very nice, very nice you are talking?

M: You sit on the chair and talk to the doctor.

P: OBSERVATION; child sits on a chair next to the mother but still holding her arm.

As the mother starts to leave the room, the child jumps off the chair, starts crying and goes and hugs the mother, and goes out with her.)

(The mother comes in with her after some time but now the child sits on the chair and mother on the sofa behind her.)

D:        OK, so tell me what else you like to do?

P: I’ll like to play – go on a slide. Like to read books.

D:        Very nice. You are speaking so well. What else you like to do?

P: Like to dance… then I like to play, then I do homework.

OBSERVATION: Looks behind towards the  mother.

ACTIVE CASE WITNESSING PROCESS

D:        And what are you scared of?

P: Scared of lions, tigers…

D:        What else?

P: Bhoot.

The mother had some work and she had to go out of the room. Immediately the child said no.

D:        You are speaking so well. Just talk with me and your mother will come in 2 minutes.

P: No…no…(OBSERVATION: She gets up and clings to mother and starts crying)

D:        OK you don’t talk, but can you draw till your mom comes back?

(She sits on the chair and starts drawing.)

(Since she was not ready to communicate even after so much of encouragement and the fact that at the beginning she had brought drawings, we ask her to draw.)

OBSERVATION: She covers the paper with the hand and also draws at one lower section of the page.)

D:        Wow! What is this?

P: This is my sister & me, & this is my father and my brother.

D:        And what is this?

P: A heart.

ACTIVE – ACTIVE CASE WITNESSING PROCESS…

D:        What is this heart doing here?

P: I love heart so I drew it.

D:        Earlier also you drew hearts. What about this heart you love?

P: I love heart like that only.

D:        Heart with arrows what does this mean?

P: Looking into the drawing. (PAUSE)

D:        What are you all doing?

P: We all are looking at the heart and thinking what is it.

D:        What does the heart mean?

P: I don’t know.

D:        You like drawing heart huh. When do you draw it?

P: In school. In my drawing class. I draw heart and stars and one day I drew heart and star in the Christmas tree.

D:        In this drawing who is having the flower? (We spotted a flower in the drawing she had made.)

P: My sister- she is just holding it.

D:        She is going to give it to someone or what?

P: Me.

D:        And heart will go to whom.

P: To my brother and father.

D:        Why?

P: Like that only.

D:        Like that only. OK… Would you like to draw something more for me?

D:        Wow! What is this?

P: A drawing.

D:        Of what?

P: Drawing of a garden. This is me and my brother.

D:        What are you both doing here?

P: We have come here to play.

D:        What are you playing?

P: Running and catching.

D:        What is this?

P: Flowers.

D:        Which flower are they?

P: This is flower, this rose and…this …this is pink flower.

D:        Draw one more thing for me?

P: OBSERVATION:  She draws human figures and then joins all of them together.

D:        Wow! What is this? I don’t know what it is.

P: My family.

D:        What’s your family doing here?

P: Ring-a-ring-a-roses.

D:        Ring-a-ring-a-roses. What’s that?

P: I don’t know.

D:        Whom you like the most in your family?

P: My mom.

D:        What about mom you like the most.

P: (PAUSE)

D:        You like or your sister likes?

P: I like more.

D:        What else?

P: (PAUSE)

ACTIVE – ACTIVE IN DIFFERENT AREA – FEAR

D:        What are you scared the most.

P: Lion and tiger.

D:        What about them scares you the most?

P: Because lion crawls and eat us.

D:        What else do they do.

P: Smiles.

D:        You said previously that you are also scared of ghost. What about them scares you?

P: (PAUSE) … I saw the movie called Road side Romeo. (This is a bollywood movie)

(Here when we ask her about fears, she herself goes to the area of movies, so we become active- active to explore this area.)

ACTIVE – ACTIVE IN DIFFERENT AREA -MOVIES

D:        What is there in that movie?

P: There’s a dog, many dogs but 1 dog’s name is Romeo.

D:        Go on?

P: There is a girl called Leila and she loved…. and that dog he loved Leila..

D:        I don’t know what they do? Love means what?

P: I don’t know.

D:        What about the movie do you like the most?

P: I like Leila.

D:        What about Leila you like?

P: (PAUSE)

OBSERVATION: leans on the table and hides mouth behind both palms.

D:        Which other movies you like?

P: Romeo & Jaane tu… (It’s a Bollywood romantic movie.)

D:        And what is there in that movie Jaane tu…?

P: I forget.

D:        Anything else about you.

P: Nods no.

D:        So you like all movies with love/

P: Nods Yes.

D:        What about it you like?

P: I don’t know… because nice things happen.

D:        What?

P: Like they don’t shout, they don’t hit and all.

D:        Anything else.

P: No.

Child goes out and comes back with another drawing along with the mother.

MOTHER’S OBSERVATION OF THE CHILD

She is very affectionate child.  She will go and give big hugs even to strangers. She is very fond of her younger brother and she will make him understand things by saying you can win this or that and she lets him win. Actually she is friendly with anybody and everybody.

END OF THE CASE

—————————————————

UNDERSTANDING OF THE CASE

OU OF PLACE/ OUT OF ORDER

Passive case witnessing process

Verbally the child didn’t speak anything peculiar but our observations regarding the child were very peculiar…

• Her clinging.
• Sitting in the mother’s lap.
• Holding mother tightly.
• Holding her hand while talking.
• Hugging the mother.

Active case witnessing process

• Clings to mother as she tries to go out of the room.
• Covering the paper with hand while drawing.
• A heart.

Active-Active case witnessing process

• I love heart .
• I drew heart and star in the Christmas tree.
• Drawing of a garden
• Flowers.
• Draws human figures and then joins all of them together.
• Too much family attachment.
• Ring-a-ring-a-roses.
• That dog he loved Laila Leila
• Like they don’t shout, they don’t hit and all.

WHAT IS THE FOCUS/CENTRE/ESSENCE OF THE CASE

• Love, attachment and togetherness.
• Love for heart.

This is very evident from her body language and all her drawings. Also this further gets confirmed from the mother’s observation of the child.

WHICH KINGDOM?

• Pure sensitivity seen.
• Drawings of garden, flowers.

This clearly points to the PLANT KINGDOM.

WHICH FAMILY?

This tremendous attachment to the mother, togetherness of the family, hugging and clinginess, love for hearts is very suggestive of the MALVALES family.

WHICH MIASM?

We observed that whenever she draws she covers the paper with her hand. This gives a hint of the SYCOTIC MIASM.

WHICH REMEDY?

The remedy from the Malvales family with Sycotic miasm running in the centre is TILIA EUROPA. BUT in the case we observed that along with the general theme of the Malvales family, the child’s focus was “Heart”. So when a further inquisitive search was made keeping focus on the “Heart” interestingly we found out a remedy TILIA CORDATA which also belongs to the same family where the leaves of the tree are heart shaped.
Thus the remedy given was TILIA CORDATA.

WHICH POTENCY?

At the end of Passive case witnessing process, verbally the child seemed to be at the ‘Name and Fact’ level but the peculiar body language which we didn’t understand initially and which got connected later on with the whole phenomenon, represented the child’s complete altered energy pattern. Thus the child (non-verbally) vibrated at the Delusion level. Therefore the potency given was 1M, single dose.

A follow up drawing

END OF THE CASE

Slipped Disk



Hpathy Ezine, July, 2011 | Print This Post |

A slipped disk does not really slip; the tough outer fibrous ring (annulus) cracks open and the softer inner layer protrudes (prolapse) through the crack, like toothpaste coming out through a crack in a toothpaste tube. For this reason doctors prefer to speak of a disk prolapse rather than a slipped disk.

What is slipped disk?

cure of slipped diskThe disks are pads of tissue situated between each of the vertebrae that make up the spinal column. Each disk consists of a tough, fibrous outer ring called the annulus fibrous and a softer, jellylike inner layer called the nucleus pulpous. The function of the disk is to act as both a strong connection between the vertebrae and a cushion to absorb weight on the spinal column.

A slipped disk does not really slip; the tough outer fibrous ring (annulus) cracks open and the softer inner layer protrudes (prolapse) through the crack, like toothpaste coming out through a crack in a toothpaste tube. For this reason doctors prefer to speak of a disk prolapse rather than a slipped disk.

The nucleus of a disk is softest and most jellylike during childhood. Over the years the nucleus gradually dries out so that by middle age it has a consistency similar to crabmeat. As someone gets older, the nucleus becomes even firmer. In elderly people the disk is mainly a section of scar tissue; this accounts for the fact that old people lose height.

Slipped disk occurs less frequently as people get older; it is a disorder affecting young adults and people in early middle age. Disk protrusion occurs where the outer layer of the disk is weakest; that is, just in front of the nerve roots, which emerge from the spinal cord at each vertebral level. There is very little free space within the spinal canal, and the protruding disk material presses on the nerve root at that level and causes the painful symptoms of a slipped disk.

The area of the spine most likely to be affected is the lowermost part of the back. Here the greatest strains occur, and it is not surprising that most disks that fail are at this level. However, it is possible for disks to prolapse at any level along the length of the spinal column – in the back or the neck.

Causes of slipped disk

  • Intervertebral joint degeneration
  • Severe strain or trauma

Symptoms of slipped disk

When a prolapsing disk presses on a nerve root, symptoms occur both in the back and in the area that the nerve root supplies. For example, a slipped disk in the lower back can cause pain in the legs.

Symptoms in the back can include severe backache. Often the sufferer will not be able to localize the pain with any accuracy. He or she may also develop painful spasms in the muscles that lie along each side of the spine, particularly in the early stages.

The patient will feel more pain when moving about and some relief when lying flat. Coughing or sneezing can cause the prolapsing disk material to bulge out suddenly, causing a sharp pain in the back or legs. In addition there may be a curvature of the spine—the patient unconsciously leans away from the side of the disk prolapse to try to relieve the pressure from the nerve root that is involved.

If the pressure on the nerve root is not too severe, the nerve will continue to work but will be painful. The brain cannot tell that the painful pressure is coming from the area of the disk, but instead interprets the information as pain originating in the nerve end. In a lower back disk protrusion the sciatic nerve can be irritated, and the individual may feel pain in the thigh, calf, ankle, or foot. This pain can shoot down a leg and is then called sciatica.

More severe pressure on the nerve root may cause the nerve to stop functioning altogether. Areas of skin that the nerve supplies will become numb, so that a light touch or even a pinprick cannot be felt, Muscles supplied by the nerve will become weak or even completely paralyzed. Reflexes such as the knee jerk reflex may disappear.

If only one nerve root is involved this is not too serious, because each nerve supplies only a small area of skin, or a limited number of muscles. If the nerves to the bladder or genitals are affected, however, their function can be permanently lost. Urgent medical attention is needed to relieve the pressure on these nerves.

Diagnosis of the slipped disk

Obtaining a careful patient history is vital because the events that intensify disk pain are diagnostically significant. The straight leg raising test and its variants are perhaps the best tests for slipped disk, but may still be negative.

For the straight leg raising test, the patient lies in a supine position while the examiner places one hand on the patient’s ilium, to stabilize the pelvis, and the other hand under the ankle, and then slowly raises the patient’s leg. The test is positive only if the patient complains of posterior leg (sciatic) pain, not back pain.

Video for straight leg raising test:

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In Lasegue test, the patient lies flat while the thigh and knee are flexed to a 90 degree angle. Resistance and pain as well as loss of ankle or knee jerk reflex indicate spinal root compression.

Video for Lasegue test:

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X-rays of the spine are essential to rule out other abnormalities but may not diagnose slipped disk because marked disk prolapse can be present despite a normal X-ray.

A thorough check of the patient’s peripheral vascular status—including posterior tibial and dorsalis pedis pulses and skin temperature of limbs—helps rule out ischemic disease, another cause of leg pain or numbness.

After physical examination and X-rays, myelography, computed tomography scans, and magnetic resonance imaging (MRI) provide the most specific diagnostic information, showing spinal canal compression by herniated disk material.

MRI is the method of choice to confirm the diagnosis and determine the exact level of herniation. A myelogram can define the size and location of disk herniation. An electro-myogram can determine the exact nerve root involved. A nerve conduction velocity test may also be performed.

Complications of slipped disk

  • Neurologic deficits (most common)
  • Bowel and bladder problems (with the sacral S1 and S2] nerve root area affected.

Ashish Sharma

Comments

  1. dr. deendyal singh

    July 16, 2011

    it is worth to read. good article good information it can batter if some homoeopathically treated case also given . thanks

  2. raja ram

    April 8, 2012

    no treated cases given

  3. vijay

    January 28, 2014

    my mother suffring from S1 is disk prablem is it cure with out operation

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