Let's Talk Shop:A Case Example of Jane Doe

Karen Allen CCHPreview of June 28-29 Seminar in Portland Maine

Roadmap for Today

● Homeopathic Case Taking: Meet Jane Doe● Complex client with a mix of chronic, trauma and rx complaints

● Where do we begin in a complex case?

● Seeing Options – Finding the Matrix of Constraint● Totality and Simile in action...

● Use the doorway of greatest constraint for the organism

● Homework for you

In walks our client...Meet Jane Doe

36 yo female, wants to get pregnantNo menstrual cycle for 18 months; on oral contraceptives for 15 years. Last 3 yrs on Seasonale (menses only occurs quarterly)Trying to conceive, no NFP indicators of fertility, no + ovulation tests on urine strips(Weeping) Feels like a failure as a woman, fears husband will leave her if she can't conceive, cries often at nightDx from fertility clinic: ovarian insufficiency

And then Jane says....

No menstrual cycle for 8 mo in teens, anorexic and body weight under 100 lb (5'8” normal frame)Her father had left the family when Jane was 15yo, everything felt crazy – the only thing she could control was her eating, so she began to micro-manage her foodLost 1/3 of body weight, got sick (mono) in bed for weeksMother got her into an eating disorder counseling programWithin 6 months back to normal eating / weight, and menstrual cycle resumed.

She also tells us...

In a car accident a year and a half ago, minor whiplash and concussion. Headaches daily for 2 months after that, bruised ache on vertex, behind eyes, down left temple where head hit window. Pain < moving, > lying, > CST. Still gets them 1-2mo, especially if overtired, same pain, last several hoursSharp needle pain in L shoulder when she raises arm to the side. Dx bone spur on shoulder joint. Long hx of issues with that shoulder, several dislocations when playing sports in HS and college.

And a little more...

She works very long hours as an event planner, avg 65 hr/wk, erratic hours – can begin at 5am or work till 2am, though seldom more than 10 hr/dayOften at least 1 night per wk w 4 hrs sleepLoves her work, satisfying, creative, $$$, and stressFamily history – diabetes on father's side (dad, PGF) and both of mother's parents died of cancer (lung and bowel)

And then we learn...

She fears flying (actually crashing...) and cockroachesMust sleep with window open, or gets restless, light sleeper generallyDislikes sun on her face, makes her eyes waterRecurrent dream of row boat on a lake, wave coming, fears it will sink her boat, wakes before wave hits, feels out of control.

Ummmmmm... well....

How do we look at this?Where to begin?Likely to respond well to constitutional care?Where is the diagnostic agreement in this case?Hammers and nails... and other choices...

Dr. Francisco Eizayaga

There are multiple aspects of each caseNot all aspects of a case are equally accessible to us for therapeutic interventionThe vital force has its own agenda in repair and we are not able to assign/direct this The end products of disease respond differently to the stimulus of a remedy than the initial disturbance of sensation and function

Fundamental: Body Physiology

Fundamental: Body Physiology

Fundamental: Body Physiology

Jane: Fundamental

Bone spur Easy dislocation of jointWhat other questions could we investigate about this?What does her fundamental terrain indicate for her chief complaint?

Constitutional State

Jane: Constitutional

She had a deep emotional wound when her father left the family – anorexia - still estranged Feels like a failure as a woman (re: conceiving)Fear of flying (crashing...) and cockroachesRecurrent dream – rowboat / wave / out of controlWhat does her constitutional state indicate for her chief complaint?

Lesional Therapeutics

Jane: Lesional

Trauma to shoulder from injuriesHeadaches / hx concussion and whiplashOvarian insufficiency – hmmmm? DO we know?What does her lesional state indicate for her chief complaint?

Miasmatic Constraints

Jane: Miasmatic

Family history of cancer / diabetesHistory of mononucleosisIssues with controlWhat does her miasmatic state indicate for her chief complaint?

Iatrogenic Residue

Jane: Iatrogenic

Impact of 15 years of contraceptiveHow is Seasonale different?How to interpret the timing?What does her post-contraceptive state indicate for her chief complaint?

Environmental Burden

Jane: Environmental

She works very long hours - endocrine burden of lack of sleepWhat does her environmental state indicate for her chief complaint?

Organ Therapeutics

Jane: Organs

Reproductive - Ovarian insufficiency, amenorrheaMusculoskeletal systemWhat does her 'organ' state indicate for her chief complaint?

What are our Clinical Options for Jane?

Each of these aspects is a possible doorway into the case... and they are not mutually exclusive

Where is the greatest limitation? What is in the critical path to healing?

Where is the most suffering / the greatest disturbance to the vital economy = greatest constraint!

Questions on the concepts presented so far?

How to work withJane Doe...

● When taking a case, review the total information as a series of voices, rather than one. This is like seeing the threads and colors in a tapestry. Each of these can be individually repertorized and matched to a simile!

● Identify the voice with the greatest constraint (Potentially fatal? Energy disruption? Most costly in the economy of the person?)

● Complete your case analysis using multiple options – overall? Greatest constraint? Use the doorway with the loudest voice...

● Questions?

Webinar: Let's Talk ShopA Case Example of Jane Doe

May 31, 2014

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has completed 1 hour of training with Karen Allen CCH in homeo-pathic case analysis.

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Weekend Seminar June 28-29, 2014: Portland Maine Proceeds from this seminar support HWB's Haiti Project