Case Quizes Clinical Cases

Revisiting: Stewardess Flies the Unfriendly Skies!

Revisiting: Stewardess Flies the Unfriendly Skies!

Just what a flight attendant needs is a bladder infection! What homeopathic remedy did she take? Answer is at the bottom.

To read last month’s full case quiz. Visit – Stewardess Flies The Unfriendly Skies!







Nux vomica-2


Hello everybody!  Is the caller there?  You’re on the air at!


Hi Elaine ,

Hi Neil.

I think the remedy this month is Argent Nitricum.  It is under sensation of constriction in bladder, is in bold under urging and also has a  craving for sugar. The patient also has a lot of nervous anxiety surrounding her job too with restlessness.

It’s a good thought, you make a good case for Argent-nit; but the rubric you picked (sensation as if bladder is constricted) is a sub-rubric under “bladder, constriction” and only contains 2 remedies–Argent-nit. and Digitalis; whereas, the main rubric (Bladder, constriction) contains 42 remedies!  And there’s really no reason to risk losing the correct remedy by opting for the small sub-rubric when it doesn’t really distinguish itself from the main rubric!  “Bladder: constriction”, after all, IS a sensation, for all intents and purposes.  There’s actually no way to determine if the bladder is REALLY constricted unless you do an X-ray of some sort, and what’s the likelihood that that’s gonna to happen?  So to my way of thinking, “Bladder, constriction” is a sensation; so, bypassing that in favor of a sub-rubric with only 2 remedies would be very risky.  Maybe best to combine the two rubrics. 

Also, Argent-nit. is very hot.  Our patient is very cold. 

Like you, I also got that she was craving sugar and had anxiety about her new job.  But what remedy famously has a fear of undertaking anything new, plus has a desire for sweets?

I’d have said lycopodium but the patient wants to “gulp cold drinks” and lyc is better warm drinks.

That is so true and could really throw you off and make you think of Phosphorus, which did come in 2nd in my repertorization.  BUT, if the etiology is her anxiety over her new job, then that would over-ride all the confusing symptoms underneath.  Again, we have a Hierarchy Of Symptoms and Etiology is at the top. 

So, what I did was repertorize everything she told me because I didn’t have confidence in Lycopodium.  I never heard of giving Lycopodium for a bladder infection before.  I repertorized the following symptoms:


  1. Bladder: urging to urinate, frequent
  2. Bladder: constriction, urethra, urination, during
  3. Bladder: burning, urethra, urination, during
  4. Bladder: constriction, bladder
  5. Bladder: cystitis
  6. Bladder: pressing pain, pressure in bladder
  7. Mind: agitation
  8. Mind: restlessness, pacing
  9. Food: cold drinks, water, desires
  10. Food: cold drinks, water, desires large quantities of cold water
  11. Food: sweets, desires
  12. Chill: chilliness
  13. Mind: company, desires
  14. Generals: constriction sensation
  15. Mind: fear, undertaking anything, new enterprise, a


So, here’s the chart.  Lycopodium comes in first.  And then, guess what?  After I had already prescribed Lycopodium and it worked?  She said, “And the gas and bloating went away too.”  The what????  OMG!  That should have gone under “Concomitants”!  It would have made this case so much easier!  Grrr!!!!!  Can you believe she left that out???????  Gas and bloating.  OMG!

Revisiting: Stewardess Flies the Unfriendly Skies! 1


The patient was nervous about the job but how do we know its the etiology for sure?

She kept bringing it up:  “I feel sort of agitated and anxious about my new job.I meant to contact you earlier, but this flight attendant life is very new to me and I’m still adjusting and don’t have my act together.”  The new job and the bladder infection started at roughly the same time.

It may have been a coincidence that a urinary tract infection happened at around the same time as her new job.

I know, I know!  That’s why I repertorized, because that’s always a possibility.

When do we ignore or overrule a symptom?  For example, Arg-nit was ruled out because the patient was cold instead of hot, but at the same time, we didn’t allow thirst for cold drinks to rule out Lycopodium!

You are so right!  But, again, that’s why I repertorized, because the thirst, desire for sweets and being better for company certainly makes you think of Phosphorus!  But when the repertorization turned up Lycopodium, suddenly the anxiety over the new job took on new meaning for me and I thought, “This could be the etiology!”




Is anybody else here today?


Hi Elaine and Shana!

Hi Maria!

I loved your “Miss Lascivious Has Left The Building” quiz with that snake remedy I never heard of!  Very interesting!

Thank you!

I am not aware of the powerpuff girls. The first time I saw it was in your article.

If I can find it with subtitles…

Um…….I wouldn’t worry about it, Maria.  I think you have to be 8 years old to watch it.  Or 26.

I am a huge fun of Shawn the sheep, though!

Me too!

For this month I vote Phosphorus.

Well, Maria, Phosphorus turned up #2 in my repertorization, so, it’s not a bad guess.  I simply repertorized everything she told me, and when I saw what came up in first place, it made sense with what I thought might be the etiology–her new job!



Hi Shifa!






It was Lycopodium, Shifa.  It seemed to be all about her new job which she didn’t feel prepared for.  So, you know that Lycopodium has a fear of undertaking anything new, right?  But also, I literally repertorized everything she said and Lycopodium came up #1.


Hello Elaine and Shana,

Oh look!  It’s the gang from Slovakia!  Hello Miroslav and Jitka!

here are our brief answers to the November Quiz.



I would try to solve it as follows:

cold, thirst for cold water, the first symptoms were coughing at night, irritated and coarse, then at work energetic and cheerful, burning during urination, frequent urge: Belladonna.

Well, Miroslav….you know, Belladonna is a rabies remedy and, as such, is thirstless; so, her thirst makes us not want to say Belladonna.


Overindulgence on chocolate and coffee, chilliness, irritability, better with company,  a constant urge to urinate and a sense that the bladder is full although tiny amounts of urine are passed  – Nux vomica

Jitka, is Nux vomica really better for company?  In fact, it’s in BOLD for “Mind: company, aversion to”.  The truth is, I had no idea what her remedy was!  All I could do was repertorize what she told me; but, when I saw what came up #1–Lycopodium–it made me realize that her mention of how unprepared she felt in her new job was actually probably the etiology!  Lycopodium notoriously feels unprepared for anything new, any new undertaking!  So, yes, the remedy was Lycopodium.

May your world be filled with warmth and good cheer this Holiday Season, and throughout the year.

Thanks Miroslav and Jitka, same to you!  I think I see Krista making her way up to the microphone…


Hello Elaine and Shana,

And thanks Shana for the compliment- I DO care!

I’ll let Shana know!

I love all your announcements, music news and, of course, adore the quizzes.

You’re one in a million!

Your banter is great – always cracks me up.

Wow!  this really is a red-letter day!

Ok well this quiz had me thinking for a bit.  The two I took a hard look at were Nux Vomica and Merc Cor.  They have a lot of similarities.

They both have

– Frequent urge to urinate

– Urge is painful

-Burning during urination

-Scanty urination

It was more of a narrow stream–I guess the urethra was swollen.  She said “constricted”.

-Both better for rest


Mercury has the thirst that Nux doesn’t BUT Nux has the etiology that Merc doesn’t.

She had been overdoing it.  Too much stress.

Too much work – not enough sleep .  Too much junk food.

Nux is also worse in bed in the morning and better lying on side.

So I VOTE FOR NUX….am I right ?

Uh………no.  I think you got the etiology wrong.  I saw the etiology as her new job.  She kept talking about how nervous and anxious it was making her, how unprepared she was; “I don’t have my act together,” she said.  So, we have a rubric, “Mind: fear, undertaking anything new, a new enterprise”.  The main remedy is Lycopodium.  And then when you try to confirm it by looking back at the case and saying, “Is anything else about this case Lycopodium?”  Yes:  She’s cold, she desires sweets and chocolate and sweets aggravate, and then, what I learned AFTER I had given the remedy?  She had gas and bloating!  (Would that she had mentioned that sooner!)

So, yeah, that was it.  The case actually did repertorize out to Lycopodium, though.

Thanks for voting!




I think we may have time for 1 more contestant.


Hello Elaine and Shana.  How are you doing?

I think Stewardess is Argent nitricum.  I have found another medicine very near which is Digitalis but it has no such relation with craving for sweets.

Definitely the remedy I chose had a craving for sweets.

I shall try again if i am wrong.

Well, here’s the thing, Salma.  What struck me was that she kept talking about how anxious she was about her new job and how she didn’t feel prepared and didn’t have her act together; so, with that in mind….I picked Lycopodium!

Best wishes


Dhaka, Bangladesh


So now it’s time to congratulate our winners.

Mom, we don’t have any winners!

Oh.  Well that’s different.  Never mind!

See ya next year!


Elaine Lewis, D.Hom., C.Hom.

Elaine takes online cases and animal cases too!

Write to her at [email protected]

Visit her website:

About the author

Elaine Lewis

Elaine Lewis

Elaine Lewis, D.Hom., C.Hom.
Elaine is a passionate homeopath, helping people offline as well as online. Contact her at [email protected]
Elaine is a graduate of Robin Murphy's Hahnemann Academy of North America and author of many articles on homeopathy including her monthly feature in the Hpathy ezine, "The Quiz". Visit her website at: and

About the author

Shana Lewis

Shana Lewis

Shana spices up the Hpathy Quiz with her timely announcements and reviews on the latest in pop culture. Her vast knowledge of music before her time has inspired the nickname: "Shanapedia"!

1 Comment

  • Again a wonderful quiz. Thanks dear Dr. Ellaine and Shana to teach us in a interesting manner. Every time I solve the quiz, I learn new things. Love you.

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