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Please find the case in the reply below thankyou

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Curred case
Knee Injured 20 years ago:
Lorne P. Moyer DSHM, Hons
Preliminary Data: Name, Age, Ethnic Background, Sex, Marital Status, Economic Background, Occupation
John a Canadian male, married 4 children, living in Central Ontario, Canada. A male nurse now 41 Y/O
Presenting symptoms:
Chief Complaint in detail: Location, Sensation, Modality, Concomitant, Onset, Duration, Progress.
This case was part of my private patients in my last year of school.
Injured his left knee in sports when he was 20 Y/O. He would have had surgery to repair it however it would have taken him off of work for six months without pay. The surgery would have opened his joint and ground the bones to match and then sew it back together; no cartilage was left in the joint. The expectation was this repair would last about eight years then a joint replacement would be in order and another when he was approximately sixty five Y/O.
Chronic Homeopathic History: Associated Complaints, Menstrual and Obstetric history, Past history and treatment taken, Family history, Physical Generals including Sleep and Dreams, Life Space with Mental/Emotional Details.
Timeline – 1985 acutane for acne, father died, headaches started. – 1988 original knee injury – 1986 lipitor for cholesterol – 1989 cyst grew on ear but didn’t stay – 2007 , knee pain, swelling of kneecap, scope on knee, MRI knee, reduction in motion of knee, physio for motion / 4 months/ no improvement, tramacet pain med. – other anxiety from stress normal response for him, hemorrhoids, leg twitching at night, sleep poor and interrupted, hyperactive, religious, missionary at one time,warts on hand. Present condition constant use of pain medicine, reduced movement in limb and almost drags leg when walking.
Examination: Pulse, Blood Pressure, Temperature, Height, Weight, Tongue, Mucous membranes, Nails, Other observations of Appearance, Systemic Examination
Appearance
White male Caucasian
Canadian
Build stocky
Medical Diagnosis: Provisional or final of chief complaint; with Associated Diagnoses.
No examination was conducted


Case Analysis: Susceptibility (high, moderate, low), Miasmatic analysis (Fundamental, Dominant), Phase of Disease (acute, chronic, Acute exacerbation of chronic state, etc)
Totality (Acute, Chronic, Miasmatic)
Repertorial Analysis (Rubrics Used, Remedies with differentiation)
No mismatic analysis was completed
Radar licence : 42162 - Date : 06/07/2010

john private 2008 oct

Sum of symptoms (sort:deg)

Intensity is considered

1 1234 2 FACE - ERUPTIONS - acne 151
2 1234 2 EXTREMITIES - LAMENESS 71
3 1234 2 EXTREMITIES - KNEES; complaints of - Bend of 74
4 1234 2 EXTREMITIES - ARTHRITIC nodosities - Knees 6
5 1234 2 SKIN - WARTS - horny 13
6 1234 2 EXTREMITIES - HANDS; complaints of - Back of hand 30
7 1234 2 BACK - TENSION - Cervical region - Nape of neck 56
8 1234 2 HEARING - ACUTE 123
9 1234 2 HEARING - IMPAIRED 264
10 1234 2 TEETH - MOLARS; complaints of 86
11 1234 2 RECTUM - CONSTIPATION - accompanied by - hemorrhoids 25
12 1234 2 MIND - FASTIDIOUS 66
13 1234 2 MIND - HAUGHTY 133
14 1234 2 MIND - RELIGIOUS AFFECTIONS - too occupied with religion 82
15 1234 2 MIND - QUIET disposition 103
16 1234 2 PERSPIRATION - EXERTION - agg. - slight exertion 145
17 1234 2 EXTREMITIES - TWITCHING - Legs 87
18 1234 2 SLEEP - SLEEPLESSNESS - thoughts - activity of thoughts;
from 123
19 1234 2 EXTREMITIES - CONTRACTION of muscles and tendons 69
20 1234 2 ABDOMEN - RUMBLING - croaking like frogs 10
21 1234 2 STOMACH - APPETITE - ravenous 237



caust. calc. nux-v. sil. lyc. sulph. graph. sep. puls. ars. con.
40/66 36/68 36/62 36/62 34/68 34/68 34/66 34/64 32/62 32/56 32/46
-------------------------------------------------------------------------------
1: 3 2 3 3 3 3 3 4 3 2 2
2: 2 1 1 2 - - - - 2 2 2
3: 1 1 1 - 1 1 1 1 1 1 1
4: 1 2 2 - - - - - - - -
5: 2 2 - 1 - 2 1 2 - - -
6: 1 2 1 1 1 2 - 3 1 1 -
7: 2 1 - 1 - 1 1 1 2 - 2
8: - 1 3 3 2 2 2 2 2 1 3
9: 3 3 2 3 3 3 3 2 3 2 2
10: 1 1 1 1 1 1 1 1 1 1 1
11: 1 - 2 1 1 2 1 - - - -
12: 2 - 2 1 1 1 2 1 1 3 1
13: 2 1 1 2 4 3 2 1 2 1 1
14: 1 2 1 1 3 3 2 3 2 2 1
15: 2 2 1 1 1 - - 1 1 1 1
16: 1 3 1 2 3 3 3 3 3 2 1
17: 1 1 - 1 1 1 2 1 1 1 1
18: 1 3 3 2 2 2 2 2 3 3 1
19: 3 3 2 2 3 1 3 2 - 2 1
20: 1 - 1 - 1 - 1 - - - -
21: 2 3 3 3 3 3 3 2 3 3 2
Remedy - causticum selected
11/15 30-c dry
11/23 4 oz water one spoonful
Repeated dose 3 more times at weekly intervals
Plan of Chronic Management: Treating with acute, chronic, intercurrent, anti-miasamtic, constitutional; choice of potency and frequency of repetition, Symptoms to be evaluated for response to remedy/treatment, frequency of follow-ups required.
Follow Up: Dates, MYMOP, Scales of improvement or percentage of improvement of symptoms. Details of intercurrent prescriptions with totality, reportorial analysis and reasons for the same.
Followup Dec 23
Client is under a lot of job stress at present
Sleep is improved moderately
- increased remedy to 30-c in water 5 succussion – 5 drops in a small amount of water once per day for 30 days
- Instructed client to see a chiropractor
Ancillary Measures suggested apart from Homeopathic remedy
- Added in tissue salts 6X to assist in rebuilding the joint
- Take 6 per day of each
- Calc Flour – Calc Phos – Ferr Phos – Nat Mur – Silicea
Followup jan 12 created baseline
Continued remedy and tissue salts
Followup feb 10
Improvements in knee pain slight, joint movement same, thumb numbness same, sleep somewhat better, leg twitching night about a third better, flexion same, general feeling of calm 10% better – chiropractor none
Continued remedy and tissue salts
Followup mar 04
Knee pain about half – joint movement increased – hand numbness slightly better- sleep improved – leg twitching night almost gone – general feeling of calm improved.
Decided that he wouldn’t go to chiropractor.
Continued remedy causticum same and tissue salts
May 10 final followup per student requirement
Knee pain almost gone – joint movement greatly improved – thumb numbness somewhat improved – sleep greatly improved – leg twitching almost gone – flexion greatly improved.
Notes: because this was a student case there were only four follow-ups. Patient went forward and ended up playing hockey in the fall and now functions normally with the knee. I feel that the causticum should have been continued until the other symptoms resolved. Patient felt that the cartilage had re-grown however there is no testing to dispute this. I would hope that some of our practitioners that have facilities and training available to them would repeat this case with more thorough medical testing.
Discussion: Homeopathic interpretations of Direction of Cure, Analysis of pathology of disease, Sequence of remedies needed, etc.

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