Case : Dr. VTR age 69 yr.

( This is a case of a General practitioner who is practicing allopathic for the last 36 yr. The case has be written in patients verbatim )

I have been operated for high tibial oseotomy in 1991.

Also since the operation I am having occasional chest pain.

In 1993 , was operated for by-pass surgery. As both the coronary arteries were blocked. But know my knee pain is very severe and I feel handicapped. I have brought the X-ray along with me.

X-ray report:

The X-ray report of Knee joint.

The AP view is exposed in erect posture & the lateral views in conventional posture. The study shows following advanced degenerative changes. The joint cavities are completely narrowed. Marginal lipping & osteophyte formation observed. Posterior loose bodies observed. The left side shows some degree of osteoporosis.

Present complaints chest pain not related to exercise.

Starts any time either during night or during day without any cause.

At least I know that it doesn't come with any cause.

Then, Second complaint particularly knee joint problem related to exercise.

If I walk long distance I get a lot of pain. The pain is more when I get up and walk initial few steps its difficult to get up if I have sat for a long time. I cannot get up easily. I have to take support. I feel much better if I sit with my leg elevated and if I do hot water fomentation.

Third complaint I get skin problems itching particularly over the old operated scar of by-pass surgery itching is more common during night. In 1994 started getting fungal infection. On the back and inner side of thighs.

These are all my present complaints ask me questions.

Describe your chest pain?

Particularly on the left side of the chest below the clavicle. Pain is like suffocating.

At times feel the suffocation in my throat . As if my breath stops. It's just like breathing stops. Similar type. If I get a sorbitate I get a relief immediately. This pain was relived in between for a months.

Again it has started since the last eight days but the severity of the pain is similar to what it was previously. I have noticed the pain is more when my tummy is full. If the food intake is more then immediately I get a pain. Sometimes it disturbs the sleep also.

During sleep also I get pain.

That's all for the present.

How so you feel when you get this pain?

I feel I should not do anything I cannot concentrate on any work. I have to bend a little or take a tablet of Sorbitate.

How does it feel when you cannot concentrate ?

My whole mind is on the pain. I cannot do any sort of work nor reading writing or listening to anybody.

Pain is very severe that time. I cannot focus anywhere else.

How does it feel when you cannot focus during this severe pain?

I feel I might die.

And how do you feel when you get the feeling that you might die?

My heart will stop because of less or sudden stoppage of blood supply. As the pain is due to less blood supply to heart muscles. A time may come where it will stop suddenly and then I will die.

If you die then what happens?

Then finish nothing left. People will start doing all the remaining ceremony. Then family will suffer.

What else?

In what aspect?

Anything?

I don't think in my absence family should suffer and I feel they should have peaceful life.

What it makes you feel when you say family will suffer?

My earning will stop. And once the earning stops they might have to sell out all the property. And then survival will be a problem.

What do mean by saying that Survival is a problem?

My wife & children will have to be supported once the earning is stopped.

What will happen then?

Then they will sell out all the property. My dispensary and other assets. Then they will spend the money for other livelihood. For e.g. they want some money for day to day expenses then they will sell out one by one all the property.

What is that disturbs you very much?

Sudden death. Once I die my dispensary will be closed and somebody else will come and purchase it.

And they may dispose of the dispensary at any cost. They will start utilizing the property for their routine life. This I feel often. Sometimes I feel that since this property is there the children might fight for the property. My wife, she has got some property on her name. If the earning stops she might dispose of her property and then survive on the money available. Sometimes I feel that children might not support her.

How is the feeling when these thoughts come up?

I go on thinking when I am alone when I am relaxing.

When I think I don't get pain. When nobody is disturbing me. Pain comes exclusive of these thoughts.

Death is the worst thought that I can't bear. I might die now. I am very scared. I am worried about that point. Whenever the pain comes I feel that my death is approaching fast.

Can you describe this feeling that children might not support?

Yes! This thought comes often that children may not support and Wife will have to look after herself.

She will have to sell some ornaments or some assets, which she has. And then she may use it as per her wish. Children may support or may not support. Even when I die she will have no problem children are self-sufficient. They will earn their own bread and butter. Sometimes I think why this calamity should appear . I have 2 more son's. I have look at their settlement. Marriage etc.

These are the good days, which I should see before I die.

What does it mean to you son's marriage and settlement?

I should see that they are married and settle independently. I don't know what is important and what is not for you. (you are doing fine just continue).

I feel my elder son is well settled and my two other sons are not yet settled. The other two are not yet independent . They can have good life. I should see it before I die. When children start selling these things then one day will come people will start criticizing the family and they will say that when his father was they were very different and now they are selling one by one. That is the thing, which I feel. That some times gives me a feeling of unhappy.

Then people will say they are not doing well as they were doing previously. They have to sell out some property to have their routine life. Once they start saying I feel unhappy nervous depressed.

Can you describe the unhappy feeling?

I don't like that and no one should say that this family is not prospering , as it was the children are doing well. Wife is not having good life.

If one by one thing starts going?

Yes! Dispensary has gone second house has gone.

What is the worst possible imaginary situation, which comes to your mind?

This I have never thought.

Think?

Wife will live separately & children's will enjoy. This is the imaginary thing wife will have no support from children. This is the thing, which I feel. A stage might come in her life that
nobody will look after her. Since she is not earning she will have to sell out the entire thing. Lead a life through what ever property & security she is possessing.

Then What?

I feel that life that they are leading is a miserable life and what way they can leave a better life. Regarding my brother's problem also. He had prepared a false will. Thou it was a negligible problem I had forgotten all the property. Son's incidence of education happened. He was staying with my brother's son and one day he asked my son to leave the house.

We went to the court.Fighting for the property that had also affected my mind till some extent. Which meant that I had to go to the court, leave my dispensary. Attend the court come back. Case was postponing. Ultimately we settled with compromise. All these things. It affected me a lot.

What about the incidence with your brother disturbed you the most?

He has prepared a false will that affected me too much. I felt since I am one of the brother I should get my share. Actually when my son was staying with them during his education
I had forgotten about this property. Then he started troubling my son and then I thought this is not a good thing. We must get our share we must file a suit. I started fighting with him in the court. Ultimately it is settled. This also gave me a little trauma. I felt this is cheating. When he made a false will of my father. He wanted to cheat me and enjoy the property. By law there is a share of my rights in the form of money or land.

What was the most traumatic incidence in the whole story ?

He was claiming that he a had given money for my education which is totally false and then he tried to prove in the court with different evidences. I proved in the court that he has not given me any money. He had to come to compromise. We told the court that he is talking lies. He was not talking he wanted to prove it. The whole task was a troublesome task for me attending the court engaging the advocate. At the cost of my daily life I have to attend the court once a week. All these unusual things use to bother me. Some time I would think that its better I forget and then also I would think why not end the matter. Lot of money was involved.

That is what you thought what did you feel ?

At that time I thought whatever he gives I must be satisfied. We don't insist that he must give me certain amount. I was firm about fighting and felt the truth should come out. I wanted to prove it. What he has done is against the legal matter. He has said false thing to the court. He came to compromise by setting a certain amount. This was going for nearly 4-5 yr. It was a troublesome job sometimes I would go and the advocate was not in his place. We were annoyed felt troublesome. The advocate was always postponing.

Any other incidence you remember in your life where you had a similar feeling very intensely?

I don't remember.

When were you very upset ?

When my wife went to Jaipur . Family was disturbed I was nervous. I was alone. My children and my family were disturbed. They have gone to Jaipur that was also a trauma. I was not having good life. No interest in anything. I was not taking much interest in my practise.

I use to going to seminars. I was avoiding all these things. Just for the sake of the clinic I was going. This is not a life at all. I was pulling on for a month or two like this. I then told my elder son that we will go and get her back. Then I went.

What was your feeling?

She was suspicious of me having a relationship with another women. I was handicapped. They left me alone. She should not go should not leave us like this. I was crippled. I was not able to do anything. In all activities because they have left me.

What sort of crippled feeling?

As if when she has left me alone. That I am alone I have to lead this life all alone. Count days 1-2-3- like this. I could not bear it. Everyday I was thinking that one-day she will come back. To remain alone is like a life of a crippled no joy , no good food no support.

No other social activities. People will criticize me he is alone wife has left him alone. Then in our community it is not good thing to do this thing and they will keep on asking why have you left him. These are the things, which are taking my mind.

Yes! Another thing is hospital problems that was also very traumatic. Once the hospital was erected there were lot of problems going to police stations had to handle a lot of complaints from the land owner. Regularly it was another problem he use to go to police station and complain about us.

I was firm in my views. That I was right let him go anywhere. He use to give false reasons against the situations. That this my property this is my tree this is my compound. I use to tell them this is not your property and this is the Indian airlines property Governments property etc. This property has nothing to do with you he was claiming saying this is my property and you have to pay me for this.

Fought in the court and said whosoever the owner may be will ultimately get it. Ultimately I won the case and he had to surrender. This was going on for nearly 4-5 yr. I was not happy. I was trembling every now and then. Trembling in the sense. Some sort of uneasy feeling.

He is going to the court, he is complaining against me falsely. So anybody will be upset. Actually I am very much afraid of police stations, court , income tax.

All these authority suppose he goes and complains and if he proves that He is right and I am wrong then I am finished. So my name will be spoilt my reputation will be spoiled so I was afraid. This was my real feeling.

So now even if there is any letter from the authority from medical council or income tax or from anybody I am very afraid. Some untruth. Some blaming. Then I get frightened. I cannot concentrate on patients sometimes I neglect my duties. I will go on thinking about that only.

Suppose I have crossed the signal and some R .T.O ( road trafficofficer) without my any mistake or with my mistake also I get upset. He will penalize me. He will take me to police station and he will confiscate my license. I have to pay him some amount to escape that situation. Irrespective with my fault. How much money they will charge me as fine?. I start getting trembling invariably if such an incidence occurs. Or they have caught me even if I am right. Most of the time I am.

Then when they send me a letter. I don't feel much. They have to order like that. Then I actually get trembling. Under tension I work. My conscious is not there. Mechanically I give injections to my patients. For e.g Mr. X goes and lodges a police complaint then when police comes there & then and I start getting trembling. That blame is troubling me too much. I feel this is an end of my profession end of my life. Then everything is lost. It's the earning of my life, which are going to end.

Now I am getting little pain & pressure . With this pain on the left side I feel something is being stuffed. On the right side I feel empty. But on the left side something is packed inside. If something is not occupying and its forced inside it feels like choking. Space but if you pack it more and more and more then how one feels that's how I feel.

Something tight. Something stretched. That somebody is pushed a big ball and stitched again.

What do you do to get relief?

I take a deep breath out which ameliorates sometimes not always. Relax for some moment. I bend little. and even though I don't get relief then I ask for a Tab of Sorbitate.

Tell me about dreams ?

Occasionally I feel that I am falling from a height higher than a mountain in a ditch. And suddenly on the way I am coming down I scream for support. Somebody should save me somebody should support me. So much so that I should not die in that accident. And when the sound is more then I myself get up or somebody wakes me up. This situation I have seen several times.

What other dreams you get?

Sudden Accidents. Drowning in water and nobody is there to save me. No escape than death. I am going to die in that. Nobody is there to support me. I shout for help.

What about your childhood?

As a child I was reserved and shy. At the age of 5yrs I was told by some of my friend that there will be flood and you will be all alone and parents will not be there. The entire world will be finished. There will be nobody there to support you.

I use to cry a lot. This was when I was at my native place. This was told to me many times. I was crying a lot. I had to come the hard way. Parents had to bring up 2 sons and 6 daughters. Lot of financial background was very poor. Dad lost a lot in his business. I wanted to study and come up in life. Nothing more I remember of childhood.

What do you like in food and drinks ?

I like sour and spicy food which has to be tasty with all different spice.

Rubrics:

1. Anxiety; money matter, about.
2. Anxiety ; trembling, with; hands of
3. Avarice
4. Fear ,future about
5. Fear of high places.
6. Fear; poverty
7. General ; Food and drink; sour, acid desires
8. General ; Food and drink;spices' condiments, piquant, highly seasoned food, desires.
9. General ; Food and drink; sweet, desire.
10. General; HOT; applications; amel.
11. Extremities; ELEVATION; Legs amel.

The remedy prescriped was Calcarea - fluorica 200 single dose.

A month latter:

Patient walks into the room comfortably and enters the room with a broad smile. I am feeling much better than before and it feels my life is rejuvinated. Though I should say that the first few days after taking the medicine I did feel a lot of pain and even had temperature. You had asked me to wait so I have not taken any medicine since then. Feel more than 65% relief from pain. Also It looks like I have saved 1 lakh 70 thousand rupees (1 thousand 500 pounds). But I want to keep my fingers crossed and wait till I feel completely better. At least 75%.. I feel that the homoeopathic medicine I had hasdone the miracle.

Also my craving for sour has gone down and more than that my energy & concentration at work has improved remarkably. I have not checked my blood pressure, but I have cut down on my intake of allopathic tablets for blood pressure to half.

He used to follow up every month and he has been progressively doing well the remedy was repeated 4 times in the past one and half year and he has stopped all his conventional medicies for blood pressure and also he used to take regular asprin which he stopped and has been feeling very much better since then.

The follow up after 1 yr 2mnt.

Can you tel me what has changed for you and what has not in the past one year. It has been exactly 1 yr and 2 mnts since I have started your treatment and as far as I remember that I has 3 main problems one was chest pain second was joint pain and the third fungal infection.

The chest pain and joint pains are much relieved about 80% and I can walk and do my regular exercise which I use to miss a lot. Also I am less worried and tensed about situations in life and taking everyday as its coming. Also the orthopedic surgeon I used to go for check up was surprised to see my X-ray.

As it showed oseophytes in the initial X-ray and on the recent it X-ray show oseophytes have disappeared.

Though the joint shows oseoarthritic changes but the total knee joint replacement surgery is out from the picture. Both my children are married and settled well in America. I look forward for everyday.