Post by Admin - Joy Lucas on May 30, 2021 6:29:33 GMT
FOLLOW UP consultation, after the first Rx
Once you have prescribed for a client you will have an assessment of the case, will know what needs to be cured and thus a reasonable prognosis of what can be achieved and the first follow up will be aimed directly at seeing what changes, if any, have taken place and what they indicate in regards to progress of the case. You will need to look for both favourable signs and unfavourable signs of change – both are patterns of possibility.
Favourable signs include:- An immediate and noticeable improvement A general feeling of well being, with or without any noticeable improvement A homeopathic aggravation A return of old sx Appearance of new sx if accompanied by some improvement
Unfavourable signs include:- Increased discomfort that isn’t due to a homeopathic aggravation, i.e. a general worsening of the ailment Aggravations that persist No change whatsoever – before you decide that the wrong remedy has been prescribed you have to check for sluggishness, maintaining causes and even possible antidoting.
Possibilities 1) the remedy causes a change that is curative and there is amelioration in the client’s condition, following the laws of direction of cure. There is steady rapid improvement without any aggravation. This means both remedy and potency were accurate and/or that the disease is not deep seated.
2) there is a short aggravation and even though this causes some discomfort should pass off in time. Accompanying this should be an increased vitality and a feeling of wellbeing, i.e. they can tolerate the aggravation.
3) a return of old sx is always a good sign but only if you know that they are old sx. If the case taking has not been thorough then you will not have a full list of possible old sx so always ask and check the history again if necessary. If old sx persist they might form the basis of a new prescription
. 4) new sx appear. If the sx belong to the remedy this is a good sign and they will allow the rx to act. If they are not part of the rx but the client’s health improves then stay with the remedy and take note of these new sx as they might be part of a developing materia medica or might indicate a remedy that is required later in the case.
5) amelioration only lasts a short while new sx appear. You will need to retake the case and prescribe again if necessary but pay particular attention to whether the potency was correct before moving onto a new remedy.
6) a short lasting amelioration following an aggravation might mean there is a miasmatic block to the case, i.e. remedy correct but an intercurrent might be needed.
7) rapid improvement followed by an aggravation is a difficult situation. You have to be very sure that the simillimum remedy and potency have been prescribed. This might be an incurable case or it might need an intercurrent.
8) after a marked improvement the case begins to decline is also a dangerous situation and probably indicates a homeopathic suppression but the context must be clear for this.
9) all sx ameliorate but the client doesn’t actually feel better in themselves suggests that vitality is low and needs to be addressed. If there is no aggravation in a case that has vigorous vitality means that you need to look carefully for signs of cure almost anywhere in the case. Weak vitality usually means that there is not the strength to throw up aggravations but every case is different.
10) there is a long aggravation with a slow decline could mean that the potency was too high, dose too repetitive or the vitality too feeble.
11) new sx appear that are part of the disease progress usually means that the remedy was wrong because it has not been able to stop this development but check potency as well.
12) proving sx appear could mean the dose was wrong as well as the remedy
13) new sx appear that are not part of the remedy or the disease and the client doesn’t improve means the rx is the wrong one. If the new sx are violent there might be a need to antidote and change your dosing, posology and potency protocols.
14) the remedy causes no change at all. If enough time has elapsed this usually means that the remedy was not correct. But it can also mean that there is a block to the remedy action. You need to check for antidoting which can be in the form of other medications; too much coffee or mints or other strong smelling items such as essential oils that might spoil the remedy. You also need to ascertain that the client actually took the remedy and according to your instructions. Also carefully check that there is nothing else in the client’s lifestyle that might interfere with the progress of a remedy. Is the client reliable enough in reporting progress or lack of it. You have to question the client carefully and if necessary go through the whole case priorities if you feel they might be holding back in some way. Some remedies and some individuals need time to react. Be patient.
As every individual case is different there are many more scenarios that could be added but you can see why follow ups need to be carefully and fully taken. Be organised and have your questions prepared in advance if necessary. Prioritise the case and list all what needs to be cured and go through these items one by one with the client. If you have ranked the sx of the case you will already have this hierarchy but separate them out and make sure each one is dealt with. Pay special attention to the presenting complaint as this is what is often disturbed first (but not always) and also the general energy levels, the emotional state of the client, their sleep quality and interaction with others and how they are dealing with the changes in their condition or lack of them. Has the level of optimism increased or decreased. You are looking for signs of change and all change needs to be put into context.
Keep in mind the following:-
The vitality of the client
The will of the client to improve
The degree of similitude of the remedy
The correctness of the potency
The quality of the remedy The depth and pace of the disorder Is a remedy really needed
The absence or presence of suppression
The absence or presence of maintaining causes (include antidoting factors here).
Then you will be able to assess the effects of the remedy in the following way:-
If curative
If partially curative
If suppressive (doubtful)
If incorrect
Once all of the above has been dealt with you will be in a position to consider the next prescription (which must include patience and no remedy if necessary).
Please discuss if you wish :-)
Once you have prescribed for a client you will have an assessment of the case, will know what needs to be cured and thus a reasonable prognosis of what can be achieved and the first follow up will be aimed directly at seeing what changes, if any, have taken place and what they indicate in regards to progress of the case. You will need to look for both favourable signs and unfavourable signs of change – both are patterns of possibility.
Favourable signs include:- An immediate and noticeable improvement A general feeling of well being, with or without any noticeable improvement A homeopathic aggravation A return of old sx Appearance of new sx if accompanied by some improvement
Unfavourable signs include:- Increased discomfort that isn’t due to a homeopathic aggravation, i.e. a general worsening of the ailment Aggravations that persist No change whatsoever – before you decide that the wrong remedy has been prescribed you have to check for sluggishness, maintaining causes and even possible antidoting.
Possibilities 1) the remedy causes a change that is curative and there is amelioration in the client’s condition, following the laws of direction of cure. There is steady rapid improvement without any aggravation. This means both remedy and potency were accurate and/or that the disease is not deep seated.
2) there is a short aggravation and even though this causes some discomfort should pass off in time. Accompanying this should be an increased vitality and a feeling of wellbeing, i.e. they can tolerate the aggravation.
3) a return of old sx is always a good sign but only if you know that they are old sx. If the case taking has not been thorough then you will not have a full list of possible old sx so always ask and check the history again if necessary. If old sx persist they might form the basis of a new prescription
. 4) new sx appear. If the sx belong to the remedy this is a good sign and they will allow the rx to act. If they are not part of the rx but the client’s health improves then stay with the remedy and take note of these new sx as they might be part of a developing materia medica or might indicate a remedy that is required later in the case.
5) amelioration only lasts a short while new sx appear. You will need to retake the case and prescribe again if necessary but pay particular attention to whether the potency was correct before moving onto a new remedy.
6) a short lasting amelioration following an aggravation might mean there is a miasmatic block to the case, i.e. remedy correct but an intercurrent might be needed.
7) rapid improvement followed by an aggravation is a difficult situation. You have to be very sure that the simillimum remedy and potency have been prescribed. This might be an incurable case or it might need an intercurrent.
8) after a marked improvement the case begins to decline is also a dangerous situation and probably indicates a homeopathic suppression but the context must be clear for this.
9) all sx ameliorate but the client doesn’t actually feel better in themselves suggests that vitality is low and needs to be addressed. If there is no aggravation in a case that has vigorous vitality means that you need to look carefully for signs of cure almost anywhere in the case. Weak vitality usually means that there is not the strength to throw up aggravations but every case is different.
10) there is a long aggravation with a slow decline could mean that the potency was too high, dose too repetitive or the vitality too feeble.
11) new sx appear that are part of the disease progress usually means that the remedy was wrong because it has not been able to stop this development but check potency as well.
12) proving sx appear could mean the dose was wrong as well as the remedy
13) new sx appear that are not part of the remedy or the disease and the client doesn’t improve means the rx is the wrong one. If the new sx are violent there might be a need to antidote and change your dosing, posology and potency protocols.
14) the remedy causes no change at all. If enough time has elapsed this usually means that the remedy was not correct. But it can also mean that there is a block to the remedy action. You need to check for antidoting which can be in the form of other medications; too much coffee or mints or other strong smelling items such as essential oils that might spoil the remedy. You also need to ascertain that the client actually took the remedy and according to your instructions. Also carefully check that there is nothing else in the client’s lifestyle that might interfere with the progress of a remedy. Is the client reliable enough in reporting progress or lack of it. You have to question the client carefully and if necessary go through the whole case priorities if you feel they might be holding back in some way. Some remedies and some individuals need time to react. Be patient.
As every individual case is different there are many more scenarios that could be added but you can see why follow ups need to be carefully and fully taken. Be organised and have your questions prepared in advance if necessary. Prioritise the case and list all what needs to be cured and go through these items one by one with the client. If you have ranked the sx of the case you will already have this hierarchy but separate them out and make sure each one is dealt with. Pay special attention to the presenting complaint as this is what is often disturbed first (but not always) and also the general energy levels, the emotional state of the client, their sleep quality and interaction with others and how they are dealing with the changes in their condition or lack of them. Has the level of optimism increased or decreased. You are looking for signs of change and all change needs to be put into context.
Keep in mind the following:-
The vitality of the client
The will of the client to improve
The degree of similitude of the remedy
The correctness of the potency
The quality of the remedy The depth and pace of the disorder Is a remedy really needed
The absence or presence of suppression
The absence or presence of maintaining causes (include antidoting factors here).
Then you will be able to assess the effects of the remedy in the following way:-
If curative
If partially curative
If suppressive (doubtful)
If incorrect
Once all of the above has been dealt with you will be in a position to consider the next prescription (which must include patience and no remedy if necessary).
Please discuss if you wish :-)