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Homeopathic entertainment !. A blind hunt after the Simillimum !. First Consultation !. « Doctor, when I go to stool, it hurts, it stitches and it bleeds ! » « How does it bleed ? » - « Bright red and it ruhses ! » « What else ? » - « My wife has gone ! »
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Homeopathic entertainment ! A blind hunt after the Simillimum !
First Consultation ! • « Doctor, when I go to stool, it hurts, it stitches and it bleeds ! » • « How does it bleed ? » - « Bright red and it ruhses ! » • « What else ? » - « My wife has gone ! » • « Did this hurt You ? » - « Oh yes, Doctor, a great lot ! » • « Do You like ice-cream ? » - « Oh, Yes ! I am fond of it ! »
First prescription … • Doctor’s diagnosis : • Rectal hæmorrhage, arterial blood, • After grief in an a very sensitive person • Desire for ice-cream . • Prescription: Phosphorus 30 CH • Results : None !
Second consultation … • « Doctor, when I push for stool, it stitches and it bleeds. The more I push, the more it hurts ! » • « Do You have hemorrhoïds ? » - « I think. But I can’t see ! » • « Do You like staying alone ? » -« Yes ! Why not ? » • « What happened recently in Your life ? » - « My wife has gone ! » • « Did this hurt You ? » • « Oh , yes, Doctor ! my eyes went completely dry ! So I couldn’t even weep ! » • « Where do You go for Your holidays ? » - « In Britanny : I am fond of seashore ! »
Second Prescription … • Diagnosis : • Company, aversion for, • Forsaken, with Silent grief • Hemorrhoïds • Seashore amel … • Prescription : Natrum muriaticum MK • Result : • Absolutely nothing.
Third consultation … • « Doctor, when I am going to stool, my anus hurts, stitches and bleeds ! » • « Which kind of pain ? » - « It stitches, just as if I would have a splinter in the ass . » • « Did anything occur recently in the past ? »- « My wife has gone . » • « What else ? » - « I am afraid to loose my friends. » • «How did You come ?» - « By taxi. I felt fine and comfortable.»
Third Prescription … • Diagnosis : • Feeling as if he had a splinter in anus. • Fear to loose his friends • Riding in a car ameliorates… • Prescription : Nitricum acidum LM 1 3 times a day • Result : None !
Forth consultation : • « Doctor, I am very constipated. When I went to stool it hurts and bleeds after wiping.. » • « Describe uour pains … » • « It burns and creeps upwards. I feel a cold in my back ! » • « How is Your mind usually ? … » • « I have been depressive for years . » • « What happened before Your pains begun ? » • « My wife abandoned me, two months before . »
Forth prescription … • Diagnosis : • Severe obstipation • Bleeds after wiping • Pain and cold spine upwards • Depression • Prescription : Aesculus MK 1 single dosis • Result : Nothing happens !
Fifth consultation: • « Doctor, I am very obstipated. After stool it hurts and bleeds and it smells awfully even between the stools. » • « Other symptoms ? … » • « Walking is difficult because my knees hurt . » • « Anything else ? » • « Pain in my chest irradiating to the heart. » • « Describe the pain ? » • « It stitches. » • « When did it begin ? » • « When I knew that my wife wanted to get divorced. »
Fifth prescription … • Diagnosis : • Severe obstipation • Bleeding hemorrhoïds, very painful after the stool • Stitching pain in chest towards heart • Begin after bad news. • Prescription : Pæonia 30, 200 & MK • Result : None !
Sixth consultation • « Doctor, it urges always for stool and nothing comes. If a stool comes, there are blood streaks on it. » • « What happened recently ? » • The patient, in anger : « My wife has gone ! Can You imagine this ? Leaving me like that ? It’s a shame ! » • « Is there anything that aggravates or ameliorates Your pains ? » • « Oh Yes ! I cannot drink a beer anymore ! » • A pen falls on the floor : the patient startles and gets angry .
Sixth prescription • Obstipation with continuous and ineffectual urging. • Stitching in anus with bloodstreaks on stool • Mortification after • Beer aggravates • Patient angry at trifles, sensitive to noise • Nux vomica 200 K • Result : none
Seventh consultation • « Doctor, when I go to stool it stitches and bleeds . » • « How are Your stools ? » • « Hard and stinking. Even myself, I find the smell unbearable. » • « What happened before ? » • « My wife has gone … » • « What did You feel then ? » • « I felt humiliated. Leaving me like that ! » • « What are Your dreams like ? » • « I dream that fire is falling from heaven, burning everything . »
Seventh prescription • Stitching pain in anus • Stool hard, bloody, smelling awfully • Doesn’t bear odor of his own stool. • Mortification after • Dreams that fire falls from heaven • Sulphur 5 CH 2 granules twice a day • Result : None
Eighth Consultation • With a hoarse voice : « Doctor, when I go to stool, it stitches just as if I had a needle in the rectum. It bleeds and itches. » • « How are Your stools ? » • « Sometimes hard, sometimes watery . » • « Are You married . » • « No, my wife has gone ? » • The patient is very excited, laughes loudly and stupidly.
Eighth Prescription • Bleeding Hemorrhoïds • Itching anus • Sensation of a needle in anus • Voice hoarse with stupid laugh. • Collinsonia canadensis 9 CH every second day • Results : Nothing happens
Ninth Consultation • Patient very excited : « Doctor, when I go to stool it stitches as if I had a needle in the rectum, it bleeds and itches . » • « Have You special dreams ? » • « Of course: I dream of dogs. » • « What happened before ? » • « My wife has gone … » • « What did You feel then ? » • « I got desperated. If she doesn’t come back, I think I’’ll kill myself ! »
Ninth Prescription • Patient nervous, excited • Painful hemorrhoïds • Dreams of dogs • Despair with suicidal thoughts • Rumex crispus 200 K • Results: None
Tenth consultation … • « Doctor, when I go to stool, my anus stitches and it bleeds ! » • « Ah ? Let us see this … » • A rectal exam later … and … • … The doctor screams and pulls out his finger, a needle pricked on it !
Last consultation : possible symptoms • Anger after humiliation • Rectum : pain, stitching, stool during • Rectum: anus, itching • Stool bloody Other symptoms are possible, playing on mortification , forsaken feeling, hemorrhoïds etc …
1 2 3 4 Last Consultation & Repertorisation No comments… See next page
Comments … • Pay attention to • Too direct questions • Hasty diagnosis • Prescriptions on key-notes • Use Your brain • A clinical exam remains compulsory !