wishing all my dear friends and their dear ones a year of peace, happiness and joy in 2012 - Dr G R Mohan & Dr G Padmaja Mohan
Friday, December 30, 2011
new year greetings
wishing all my dear friends and their dear ones a year of peace, happiness and joy in 2012 - Dr G R Mohan & Dr G Padmaja Mohan
Tuesday, December 27, 2011
HOMOEOPATHY ANSWER FOR RESPIRATORY ALLERGIES
HOMOEOPATHY
ANSWER FOR RESPIRATORY ALLERGIES
(Health ACTION, April 2008)
Allergies are a common and significant cause of morbidity, lost-productivity and increased health care. It is not uncommon to see children on antibiotics, antihistamine cough syrups, tonic and off-and-on bronchodilators for years together without any referral to a specialist. This irrational treatment not only results in disease and economic burden on the family but also lost opportunities of growth and development for the child. A respiratory allergy is a specific immunologic response to a normally harmless allergen. Some people with allergy develop asthma and some allergic rhinitis.
Homoeopathy offers very effective treatment for all allergic diseases such as various skin diseases like urticaria, eczema, and contact dermatitis, as well as given unbelievably miraculous results in asthmatic bronchitis etc. Allergic rhinitis is defined as an allergen-induced inflammation of the membranes lining the nose and the sinus, often due to an allergic reaction to pollen, dust or other airborne substances. The various types of allergic rhinitis include Atopic Rhinitis, Seasonal Allergic Rhinitis (also known as hay fever) and Perennial Rhinitis (year round).
Of these, allergic rhinitis remains the common cause of morbidity and social embarrassment. Recent surveys revealed a four-fold increase in the number of consultations with general practitioners, although the reasons are unclear.
RAPID increase
A rapid increase in allergic diseases like asthma, allergic rhinitis, atopic dermatitis and food allergies has been observed worldwide. Globally, it has been noted that allergic rhinitis affects 24% of the population n the United Kingdom, 20.6% in Norway, and 19.6% in Germany and 26% of the population in India. Today, the incidence of asthma-related cases is 10-12 percent. In terms of the age-groups affected, about 70 per cent of patients develop allergic rhinitis before they are 30 years of age and, the adolescent children have greater incidence with allergic rhinitis occurring between 8-11 years of age. Over $600 million is spent annually in the management of this disease by United States which does not include the costs of the 2 million lost workdays, 3 million lost school days and 28 million days of decreased productivity from the symptoms of the disease and/or side-effects of the medications used to treat them.
Heredity plays a role in the development of allergies. The risk of the developing allergies is 18% if neither parent is a topic, 20% if one parent is atopic and 50%, if both parents are atopic.
Common Causes
Irritants like smoke, perfumes, strong smells, air pollutants and temperature changes, dust mites (see figure), polluted areas having high levels of sulphur dioxide and nitrogen diospets, moulds growing on wallpaper, upholstery, carping and plants within the house are found to cause allergic rhinitis. Grasses and trees that release minute pollen grains are also known to cause allergies. Allergies contracted from grass are experienced more in the late afternoon while that from mould spores may peak on dry windy afternoons or on damp or rainy days in the early morning. Intake of alcoholic drinks like wines and beer, sea foods, chlorine in swimming pool water, drugs like birth control pills and female hormones, some drugs used for blood pressure control, aspirin and chronic use of decongestants in the nose can also produce rhinitis.
Perennial rhinitis: common causes are dust mite found in many homes, and domestic pets. Salivary protein of cat, allergens from cockroaches etc. also cause perennial rhinitis. Occupational rhinitis is caused by an agent inhaled at the work place.
When an allergen such as pollen or dust is inhaled by a person with a sensitized immune system, it triggers antibody production. These antibodies mostly bind to mast cells, which contain histamine and when the mast cells are stimulated by pollen and dust, histamine and other chemicals are released. This results in itching, swelling, and mucus production. Symptoms vary in severity from person to person with very sensitive individuals experiencing hives or other rashes.
Symptoms of allergic rhinitis include frequent or repetitive sneezing (it is an allergic reaction to something in the air); a runny or congested nose; itching in the nose, eyes, throat, or roof of the mouth; plugged-up ear canals; sore throat; occasional nose-bleeds; impaired smell and wheezing. Sometimes, cross-reactive allergy to some fruits such as the skin of apples or potatoes occurs because of similarities in the proteins of the pollen and the food. Additional symptoms include fever, fatigue, flushing and irritability. Many patients develop watering, itching and redness of the eyes, collectively known as allergic rhino conjunctivitis.
Almost 20-50 percent of patients with allergic rhinitis go on to develop asthma as allergic rhinitis is a risk factor for developing asthma. A large number of children who start with asthma also develop allergic rhinitis.
Diagnosis
The most important diagnostic tool is the history of the illness. The timing of symptoms also helps in making the diagnosis. Allergic rhinitis that appears seasonally is almost always due to pollen; and outdoor allergens can be detected by conducting a skin test when the patient is not taking antihistamines. Skin-testing should also be avoided in patients with extensive eczema. For such patients, ELISA and RAST are two commonly used methods that measure the presence of food-specific IgE I the blood of the patients. However, they are more costly than skin tests and also take more time and a simple method for detecting common allergens.
Complications of allergic rhinitis lead to ear infections due to blockage of the Eustachian tube, recurring headaches, reduced concentration, reduced hearing, appetite, and growth.
Symptoms of Asthma
Asthma is a chronic disease in which the airways of the lungs become inflamed or narrowed, resulting in disruptions to normal breathing patterns, often called attacks’ or “episodes’. The level of severity of asthma suffered by each individual, and further, the severity of each attack, varies greatly. Genetic predisposition toward developing asthma and environmental factors play a role in the actual development of the disease. Symptoms of asthma include wheezing, shortness of breath, a feeling of tightness in the chest, and coughing, which are due to a narrowing of the bronchial passages in the lungs, and to excess mucus production and inflammation. Asthma can be disabling and sometimes fatal.
Treatment: A detailed clinical history of the patient’s illness will identify the likely cause of rhinitis.
Medical philosophy is increasingly coming to the conclusion that the mere treatment of symptoms and organs can only help temporarily and that it is the healing power of the body as a whole that has to be enhanced. Homoeopathy believes in a holistic, totalistic and individualistic approach which provides relief, free of side-effects.
Clinical trials conducted on allergic disorders like atopic dermatitis and childhood asthma in Hyderabad showed encouraging results with homoeopathic remedies. The same was published in an international journal Homoeo Links.
A few homoeopathic remedies with their indications
Arsenicum album: sneezing (with every change in the weather), watery discharge from the nostrils, excoriation of the upper lip, itching, burning and watering from eyes.
Allium Cepa: Prepared from red onion has this excoriating nasal discharge, there is more lachrynation which is bland. The discharge ceases when the patiehnt goes into the open air, but returns when entering a warm room again.
Euphrasia: is similar to Allium cepa, but it has profuse lachrymation, while having bland nasal discharge.
Arum triphyllum: all the seretions are acrid, the nostrils and lips are sore. There is thirst, but drinking causes pain. The nostrils are sore, and there is contant desire to bore the finger into the nose.
Lemna Minor: A catarrhal remedy. Nasal polyps, swollen turbinates. Atrophic rhinitis asthma from nasal obstruction, wrose in wet weather.
Kali lod. Constitutional remedy, starts with sneezing, pfofuse watry acrid coryza with pain in frontal sinus, cold travels downward to chest, laynhx feel raw, violent cough
Sulphur – found to be helpful in asthma alternating with recurrent skin eruption, fluent burning coryza, worse when outdoors, stops when indoors. Frequent sneezing.
Teucr ham marum: Catarrhal condition of both anterior and posterior nostrils. Mucous polyps. Chronic catarrh, crawling in nostrils with lachrymation and sneezing. Coryza with stoppage of nostrils.
Solidago: Hay fever. Spasmodic sneezing with runny nose. Copious, watery nasal discharge, worse from the odour of flowers, even thinking of flowers increases the discharge. Oversensitiveness to odours.
Sanguinaria nitrate: Acute clods with sneezing, profuse discharge, burning and rawness in posterior nares, husky voice (must clear throat before speaking).
Pothos: Asthma fromdust exposure (Kalic, Batta, O\, Solanum)
Asthma relieved by stool.
Psorinum: nose dry, coryza, with stoppage of nose, chronic catarrh; dropping from posterior nares, Asthma, with dysponea; worse, while sitting up; better, on lying down.
ANSWER FOR RESPIRATORY ALLERGIES
(Health ACTION, April 2008)
Allergies are a common and significant cause of morbidity, lost-productivity and increased health care. It is not uncommon to see children on antibiotics, antihistamine cough syrups, tonic and off-and-on bronchodilators for years together without any referral to a specialist. This irrational treatment not only results in disease and economic burden on the family but also lost opportunities of growth and development for the child. A respiratory allergy is a specific immunologic response to a normally harmless allergen. Some people with allergy develop asthma and some allergic rhinitis.
Homoeopathy offers very effective treatment for all allergic diseases such as various skin diseases like urticaria, eczema, and contact dermatitis, as well as given unbelievably miraculous results in asthmatic bronchitis etc. Allergic rhinitis is defined as an allergen-induced inflammation of the membranes lining the nose and the sinus, often due to an allergic reaction to pollen, dust or other airborne substances. The various types of allergic rhinitis include Atopic Rhinitis, Seasonal Allergic Rhinitis (also known as hay fever) and Perennial Rhinitis (year round).
Of these, allergic rhinitis remains the common cause of morbidity and social embarrassment. Recent surveys revealed a four-fold increase in the number of consultations with general practitioners, although the reasons are unclear.
RAPID increase
A rapid increase in allergic diseases like asthma, allergic rhinitis, atopic dermatitis and food allergies has been observed worldwide. Globally, it has been noted that allergic rhinitis affects 24% of the population n the United Kingdom, 20.6% in Norway, and 19.6% in Germany and 26% of the population in India. Today, the incidence of asthma-related cases is 10-12 percent. In terms of the age-groups affected, about 70 per cent of patients develop allergic rhinitis before they are 30 years of age and, the adolescent children have greater incidence with allergic rhinitis occurring between 8-11 years of age. Over $600 million is spent annually in the management of this disease by United States which does not include the costs of the 2 million lost workdays, 3 million lost school days and 28 million days of decreased productivity from the symptoms of the disease and/or side-effects of the medications used to treat them.
Heredity plays a role in the development of allergies. The risk of the developing allergies is 18% if neither parent is a topic, 20% if one parent is atopic and 50%, if both parents are atopic.
Common Causes
Irritants like smoke, perfumes, strong smells, air pollutants and temperature changes, dust mites (see figure), polluted areas having high levels of sulphur dioxide and nitrogen diospets, moulds growing on wallpaper, upholstery, carping and plants within the house are found to cause allergic rhinitis. Grasses and trees that release minute pollen grains are also known to cause allergies. Allergies contracted from grass are experienced more in the late afternoon while that from mould spores may peak on dry windy afternoons or on damp or rainy days in the early morning. Intake of alcoholic drinks like wines and beer, sea foods, chlorine in swimming pool water, drugs like birth control pills and female hormones, some drugs used for blood pressure control, aspirin and chronic use of decongestants in the nose can also produce rhinitis.
Perennial rhinitis: common causes are dust mite found in many homes, and domestic pets. Salivary protein of cat, allergens from cockroaches etc. also cause perennial rhinitis. Occupational rhinitis is caused by an agent inhaled at the work place.
When an allergen such as pollen or dust is inhaled by a person with a sensitized immune system, it triggers antibody production. These antibodies mostly bind to mast cells, which contain histamine and when the mast cells are stimulated by pollen and dust, histamine and other chemicals are released. This results in itching, swelling, and mucus production. Symptoms vary in severity from person to person with very sensitive individuals experiencing hives or other rashes.
Symptoms of allergic rhinitis include frequent or repetitive sneezing (it is an allergic reaction to something in the air); a runny or congested nose; itching in the nose, eyes, throat, or roof of the mouth; plugged-up ear canals; sore throat; occasional nose-bleeds; impaired smell and wheezing. Sometimes, cross-reactive allergy to some fruits such as the skin of apples or potatoes occurs because of similarities in the proteins of the pollen and the food. Additional symptoms include fever, fatigue, flushing and irritability. Many patients develop watering, itching and redness of the eyes, collectively known as allergic rhino conjunctivitis.
Almost 20-50 percent of patients with allergic rhinitis go on to develop asthma as allergic rhinitis is a risk factor for developing asthma. A large number of children who start with asthma also develop allergic rhinitis.
Diagnosis
The most important diagnostic tool is the history of the illness. The timing of symptoms also helps in making the diagnosis. Allergic rhinitis that appears seasonally is almost always due to pollen; and outdoor allergens can be detected by conducting a skin test when the patient is not taking antihistamines. Skin-testing should also be avoided in patients with extensive eczema. For such patients, ELISA and RAST are two commonly used methods that measure the presence of food-specific IgE I the blood of the patients. However, they are more costly than skin tests and also take more time and a simple method for detecting common allergens.
Complications of allergic rhinitis lead to ear infections due to blockage of the Eustachian tube, recurring headaches, reduced concentration, reduced hearing, appetite, and growth.
Symptoms of Asthma
Asthma is a chronic disease in which the airways of the lungs become inflamed or narrowed, resulting in disruptions to normal breathing patterns, often called attacks’ or “episodes’. The level of severity of asthma suffered by each individual, and further, the severity of each attack, varies greatly. Genetic predisposition toward developing asthma and environmental factors play a role in the actual development of the disease. Symptoms of asthma include wheezing, shortness of breath, a feeling of tightness in the chest, and coughing, which are due to a narrowing of the bronchial passages in the lungs, and to excess mucus production and inflammation. Asthma can be disabling and sometimes fatal.
Treatment: A detailed clinical history of the patient’s illness will identify the likely cause of rhinitis.
Medical philosophy is increasingly coming to the conclusion that the mere treatment of symptoms and organs can only help temporarily and that it is the healing power of the body as a whole that has to be enhanced. Homoeopathy believes in a holistic, totalistic and individualistic approach which provides relief, free of side-effects.
Clinical trials conducted on allergic disorders like atopic dermatitis and childhood asthma in Hyderabad showed encouraging results with homoeopathic remedies. The same was published in an international journal Homoeo Links.
A few homoeopathic remedies with their indications
Arsenicum album: sneezing (with every change in the weather), watery discharge from the nostrils, excoriation of the upper lip, itching, burning and watering from eyes.
Allium Cepa: Prepared from red onion has this excoriating nasal discharge, there is more lachrynation which is bland. The discharge ceases when the patiehnt goes into the open air, but returns when entering a warm room again.
Euphrasia: is similar to Allium cepa, but it has profuse lachrymation, while having bland nasal discharge.
Arum triphyllum: all the seretions are acrid, the nostrils and lips are sore. There is thirst, but drinking causes pain. The nostrils are sore, and there is contant desire to bore the finger into the nose.
Lemna Minor: A catarrhal remedy. Nasal polyps, swollen turbinates. Atrophic rhinitis asthma from nasal obstruction, wrose in wet weather.
Kali lod. Constitutional remedy, starts with sneezing, pfofuse watry acrid coryza with pain in frontal sinus, cold travels downward to chest, laynhx feel raw, violent cough
Sulphur – found to be helpful in asthma alternating with recurrent skin eruption, fluent burning coryza, worse when outdoors, stops when indoors. Frequent sneezing.
Teucr ham marum: Catarrhal condition of both anterior and posterior nostrils. Mucous polyps. Chronic catarrh, crawling in nostrils with lachrymation and sneezing. Coryza with stoppage of nostrils.
Solidago: Hay fever. Spasmodic sneezing with runny nose. Copious, watery nasal discharge, worse from the odour of flowers, even thinking of flowers increases the discharge. Oversensitiveness to odours.
Sanguinaria nitrate: Acute clods with sneezing, profuse discharge, burning and rawness in posterior nares, husky voice (must clear throat before speaking).
Pothos: Asthma fromdust exposure (Kalic, Batta, O\, Solanum)
Asthma relieved by stool.
Psorinum: nose dry, coryza, with stoppage of nose, chronic catarrh; dropping from posterior nares, Asthma, with dysponea; worse, while sitting up; better, on lying down.
Freshers Day Celebrations Devs Homeopathic Medical College, Ankireddy Palli, RR District
The senior students Navigator along with Fresher Titans enthusiastically participated in dances and songs bringing music and life to the whole show. Ms Swetha & Mr Surya Kiran anchored the colorful cultural Programme.
The fresher’s day ended with colorful cultural Programme.
The fresher’s day ended with colorful cultural Programme.
Freshers Day Celebrations devs homoeopathic medical college, hyd
The senior students Navigator along with
Fresher Titans enthusiastically participated in dances and songs bringing music
and life to the whole show. Ms Swetha & Mr Surya Kiran anchored the colorful
cultural Programme.
Monday, December 26, 2011
Fresher’s day celebrations, Devs Homeopathic Medical College
Freshers Day Celebrations is opportunity to interact
Dr.G.R.Mohan, Principal of the college said the main motto of fresher’s day is to strengthen the bond with juniors, make them acquainted with the faculty; it is not a function but an opportunity to interact. He described the various activities of the college like health survey, rural health camp, periodical seminars and conduction of WHO day, AIDS day etc.
The much awaited Fresher Titans walked the ramp smartly and introduced themselves to the gathering. Took the blessing of elders on the dais .Prof .P.Shankar administered the Oath to the Titan batch.
Dr.K.Siva Shankar addressed the gathering said that every homeopathic student should concentrate on their studies and acquire more knowledge to show the efficacy of the homeopathic system to the public. Further he added that nowadays the awareness of homeopathy is increasing day by day and many people are coming under homeopathic care, Hence the need of homeopathic doctors are more to the suffering humanity. He instituted cash award of Rs five thousand on the name of his late son to a student who scores highest marks in final year BHMS examination.
Another guest Dr.Vasudev Vice president of devs Medical and educational society said that basically he is an Allopathic doctor and a specialist in Pulmanology, He is having a lot of fascination towards homeopathic system of medicine. He recapsulated his child hood days spent with his uncle while tackling the homeopathic cases.
Dr.N.Satya Dev the president of devs Medical and educational society said in his speech that the principal and members of the faculty are running the college with great zeal, Mission, commitment and dedication. He further said that he is very much impressed with the discipline of the students and the talent of the students in cultural activities.
Fresher’s day celebrations, Devs Homeopathic Medical College, Ankireddy Palli, RR
Freshers Day Celebrations is opportunity to interact
Freshers Day Celebration
Freshers Day Celebrations is opportunity to interact
Fresher’s day was celebrated in Devs Homeopathic Medical College, Ankireddy Palli, RR District on 24th Dec 2011 Saturday. On this occasion Navigator Batch (seniors) extended warm welcome to the Titan Batch (Fresher’s) in a beautifully decorated college Auditorium.
Dr K.Siva Shankar former Additional Director, Govt of A.P, Dr.N.Vasudev, Vice-President Devs medical and educational society and Dr.M.Satyadev President, Devs Medical and Educational society. Graced the occasion with their benign presence. The dignitaries were given a floral welcome by the senior intermediate students Navigator Batch
The college mission of the year was declared by Dr.Siva Shankar.
Current health news centre was inaugurated by Dr.Vasudev.
The program began at sharp 11:30 Am with Ms Sri Ramya of Navigator batch anchored for the program.
In this connection Dr.G.R.Mohan, Principal of the college welcomed the guests.
Dr.G.R.Mohan, Principal of the college said the main motto of fresher’s day is to strengthen the bond with juniors, make them acquainted with the faculty; it is not a function but an opportunity to interact. He described the various activities of the college like health survey, rural health camp, periodical seminars and conduction of WHO day, AIDS day etc.
The much awaited Fresher Titans walked the ramp smartly and introduced themselves to the gathering. Took the blessing of elders on the dais .Prof .P.Shankar administered the Oath to the Titan batch.
Dr.K.Siva Shankar addressed the gathering said that every homeopathic student should concentrate on their studies and acquire more knowledge to show the efficacy of the homeopathic system to the public. Further he added that nowadays the awareness of homeopathy is increasing day by day and many people are coming under homeopathic care, Hence the need of homeopathic doctors are more to the suffering humanity. He instituted cash award of Rs five thousand on the name of his late son to a student who scores highest marks in final year BHMS examination.
Another guest Dr.Vasudev Vice president of devs Medical and educational society said that basically he is an Allopathic doctor and a specialist in Pulmanology, He is having a lot of fascination towards homeopathic system of medicine. He recapsulated his child hood days spent with his uncle while tackling the homeopathic cases.
Dr.N.Satya Dev the president of devs Medical and educational society said in his speech that the principal and members of the faculty are running the college with great zeal, Mission, commitment and dedication. He further said that he is very much impressed with the discipline of the students and the talent of the students in cultural activities.
Ms Rubeena Parveen proposed vote of thanks, after the main function
The students who couldn’t shake a leg were busy savoring the delicious lunch to guests
The senior students Navigator along with Fresher Titans enthusiastically participated in dances and songs bringing music and life to the whole show. Ms Swetha & Mr Surya Kiran anchored the colorful cultural Programme.
The fresher’s day ended with colorful cultural Programme.
Fresher’s day was celebrated in Devs Homeopathic Medical College, Ankireddy Palli, RR District on 24th Dec 2011 Saturday. On this occasion Navigator Batch (seniors) extended warm welcome to the Titan Batch (Fresher’s) in a beautifully decorated college Auditorium.
Dr K.Siva Shankar former Additional Director, Govt of A.P, Dr.N.Vasudev, Vice-President Devs medical and educational society and Dr.M.Satyadev President, Devs Medical and Educational society. Graced the occasion with their benign presence. The dignitaries were given a floral welcome by the senior intermediate students Navigator Batch
The college mission of the year was declared by Dr.Siva Shankar.
Current health news centre was inaugurated by Dr.Vasudev.
The program began at sharp 11:30 Am with Ms Sri Ramya of Navigator batch anchored for the program.
In this connection Dr.G.R.Mohan, Principal of the college welcomed the guests.
Dr.G.R.Mohan, Principal of the college said the main motto of fresher’s day is to strengthen the bond with juniors, make them acquainted with the faculty; it is not a function but an opportunity to interact. He described the various activities of the college like health survey, rural health camp, periodical seminars and conduction of WHO day, AIDS day etc.
The much awaited Fresher Titans walked the ramp smartly and introduced themselves to the gathering. Took the blessing of elders on the dais .Prof .P.Shankar administered the Oath to the Titan batch.
Dr.K.Siva Shankar addressed the gathering said that every homeopathic student should concentrate on their studies and acquire more knowledge to show the efficacy of the homeopathic system to the public. Further he added that nowadays the awareness of homeopathy is increasing day by day and many people are coming under homeopathic care, Hence the need of homeopathic doctors are more to the suffering humanity. He instituted cash award of Rs five thousand on the name of his late son to a student who scores highest marks in final year BHMS examination.
Another guest Dr.Vasudev Vice president of devs Medical and educational society said that basically he is an Allopathic doctor and a specialist in Pulmanology, He is having a lot of fascination towards homeopathic system of medicine. He recapsulated his child hood days spent with his uncle while tackling the homeopathic cases.
Dr.N.Satya Dev the president of devs Medical and educational society said in his speech that the principal and members of the faculty are running the college with great zeal, Mission, commitment and dedication. He further said that he is very much impressed with the discipline of the students and the talent of the students in cultural activities.
Ms Rubeena Parveen proposed vote of thanks, after the main function
The students who couldn’t shake a leg were busy savoring the delicious lunch to guests
The senior students Navigator along with Fresher Titans enthusiastically participated in dances and songs bringing music and life to the whole show. Ms Swetha & Mr Surya Kiran anchored the colorful cultural Programme.
The fresher’s day ended with colorful cultural Programme.
Sunday, December 25, 2011
Merry Christmas
To all our dear & near friends,
May joy and happiness snow on you
May the bells jingle for you
May Santa be extra good to you!
Merry Christmas!
G R Mohan & G Padmaja Mohan
Thursday, December 22, 2011
Medical emergencies & Homoeopathy
Facing the ordeal of critical situation in medical emergencies
****** Published in Asian journal of Homoeopathy., vol 5 no .4 (17) nov 2011- jan 2012
Introduction:
“No…no I don’t
think so….it is not possible because in emergency we need medicine with quick
effect. How is it possible with homoeopathic medicine?” this is opinion in the
people around US.
Medical emergencies
constitute an important part of the medical practice. Correct diagnosis and
prompt and Appropriate treatment is essential to save life. Such emergencies
not only test the knowledge but also the skill of the medical practitioner. One
has to require not only presence of mind but also confidence to tackle the
medical emergencies. In Medical emergencies every second counts. Providing urgent treatment to patients whose
medical histories and medications are unknown. Every experience of attending a
medical emergency gives courage, experience and knowledge. It is not like
taking a long case for one hour and a short or acute case for 20 minutes.
Challenging situation
for homoeopath Physician in a medical emergencies are either to face the
emergency or to escape it due lack of
confidence, if he opts later he
will be losing reputation as a Physician, it will also be a black remark on
Homoeopathic system, as already there is a misconception that homoeopathic
system is only for chronic diseases not for emergencies. Knowledge,
attitude and practice are very important for a physician in emergencies.
Likewise he has to identify the problem within minutes and plan to give first
aid treatment till the patient is shifted to a well established hospital, a
patient with severe abdominal pain and vomiting can be food poisoning, can be a
case of acute gastritis, it can also be a case of ingestion of any pesticide
which require gastric lavage and it is a case of medico legal which he has to
report to Police.
The following are
important in emergencies .Situation at site of emergency, role of physician,
cooperation of the Attendees. For a Private practitioner Situation can be at
residence of the patient or physician’s residence or at any public place, for
an internee or for a physician who are attached institution has to face an emergency from already
admitted patient or a newly admitted emergency case. In Medical Emergencies there is a fear and anxiety among patients near
& dear. Crowd around the patient, making the patient more stressed,
and obstructing the smooth working of the emergency services.
There is a lot of
difference in types of Emergencies in rural and in urban areas , The types of
emergencies in rural areas vary like snake bite, Scorpion bite, accidents, stab injuries and suicides with pesticides etc along with common medical emergencies like acute abdomen like renal colic, acute gastritis pain, gastro
enteritis , Cardio Vascular Accidents , Myocardial Infarction etc. In rural areas supportive staff,
transportation, auxiliary medical help is lacking, in very critical conditions.
In majority of rural places, referral hospitals are very far, transporting the
case to nearby hospital is difficult due to lack of transport facilities during
this time we have to attend the case.
Conclusion: Object of this article
is to show that homoeopathic medicines
are able to cause quick effect when given in critical situations like various medical
emergencies, We
Homoeopaths have to take spot decision in selecting the remedy, as, time will
not wait for us, before arrival of ambulance what can a homoeopath can do? His
motto is to Preserve life, by problem
identification and prevent the
condition from worsening, by selecting an indicated remedy at earliest.
right
medicine right time, we can save not
only the life of patient but prevent him from big disability. Our duty not only
giving remedy also to do the general management till
arrival of ambulance or till his
reaches hospital. The vital
steps in emergencies are Clear
the airway ,assess if the person is conscious / breathing ,Laying the person on his back on a hard surface , rising
the head level , to open his airway ,Check for breathing sound if not
breathing, start mouth-to-mouth breathing. Irrespective of system
we practice learning how to perform cardio-pulmonary resuscitation (CPR) is
must to saves lives, Combination of rescue breathing
& chest compressions ,done on unconscious patient , persons
suffering cardiac arrest and in drowning/ asphyxiation/ trauma cases .2.
My main objective to
write this article is to introduce the value of homoeopathic medicine in
emergency cases. It is high time to start a P G course in emergency medicine in
Homoeopathy. Even our students do not believe the efficacy of Homoeopathic
medicines in various medical or gynaecological emergencies until we show them
the cases treated by us.
If the homoeopathic
colleges are under the shelter of conventional system of medical college, our
friends in other systems of medicine don’t have confidence in our system,
instead of cooperation they discourage patient to take the homoeopathic
treatment in emergencies, and even in their system of medicine scope is less in
few emergencies
Case no 1: Suddenly
, I heard door bell ringing continuously, I saw time it was 3 AM, with great hesitation by wiping my
eyes , I opened the door, four people
with anxious looks were standing , a person was sitting on the floor, bhiya
(brother ) please help, then I asked what happened ? Patient was a know face
stays in our locality, he told me peshab nai hara (I am not able to pass urine,
only with great difficulty I could pass few drops), he was restless, rolling on
the floor, please do something. Pressure
was building on me, I told them this is house I cannot do anything here, and
one of the lady she shouted at me are you not a doctor? What for you studied
medicine? Now time is 3 am how can we take him to hospital , we are all ladies,
I told them I will call an ambulance , but for that also they were not prepared
as 108 is meant for last stages and in govt
institutions attention will be poor, to complete formalities it takes time. (
in me also anxiety was building up ,my mind says at this movement that what can I do ? as he is elderly patient
I asked him about his problem, he told
he was having urine flow problem,
doctor advised him to get operated. I presumed it could be BPH, I don’t
have a catheter to insert nor even if it brought I don’t the experience of
inserting it as we don’t do regularly, best way is to give a medicine and send
them to a local nursing home,) On examination bladder was full, I gave Aconite
30c 5 DOSES and asked to take every half an hour.. Within 10 minutes of first
dose he passed feeble stream of urine, due over anxiety he took even second
dose after an hour he could pass normal stream of urine. He was relieved and I was relived.
Conclusion: in above case
of emergency situation was tense, at tenders were reluctant to take the patient
to hospital, patients condition they were not able to asses. As physician’s
role will be limited, this thing happen in majority of emergencies .In this
case mental agony of a patient with urinary retention with full bladder can be
understandable. Reasons for selection of Aconite are patient’s anxiety,
restlessness.
Case
no 2:
Patient aged about 51 years obese, male came with heaviness of chest, over
anxiety, restless, was brought by his wife, on examination his pulse was 100
pm, BP was unreadable, I advised him to go to cardiac centre as early as
possible, he has requested me to give some medicine till he reached hospital, I
gave Aconite 30c 5 DOSES and asked to take every half an hour. To fetch
ambulance 108, it took nearly 30-40 minutes, he told me he was feeling better,
but he went to hospital, he was admitted in ICCU. Case was diagnosed as MI,
Conclusion: In this case
as my teacher told me that first think of a worst condition and plan the
treatment in this case also mental agony of a patient with restlessness, sub
sternal heaviness, was the reasons for selection of Aconite is patient’s
anxiety, restlessness.
Case
3 : A boy aged about 4years of age was admitted with
high fever , for which he was given conventional type of treatment, fever
reduced , after 6 hours he has become drowsy ad finally he became unconscious
and admitted in ICU, GCS score was 3, he belongs to a doctors family , who was
known to me, doctor spoke to me and said only Manintal drip is been given,
chances of survival are bilk , he request me to send the medicine, on the bases
of congested face, Pupils dilated, Belladonna 30C, water dose I have sent in
drop bottle and advised them to give every half an hour two drops of medicine
in mouth by pulling lower lip. He
revered slowly, after 36 hours leg movements were noticed, he regained
consciousness after 5 days. After that case was followed by Cal Caria carb 30C
Conclusion: In this case
fever followed by coma, on the bases of congested face, Pupils dilated,
Belladonna 30C, water dose was given.
Case 4: Patient aged 14 years, male old OPD Bronchial Asthma case,
was better for 6months after Homoeopathic treatment, suddenly came to OPD with
sever shortness of breath, wheeze, earlier he was on Kali Carb 200C. On
examination of the patient Respiration rate was 30 PM, on auscultation
bilateral wheeze was heard. He was given Carbo veg 30C, in water , one dose
every 15 minutes , two spoons, even after 30 minutes also condition was no
better, Blatta Orientalis Q was add to
the prescription , 10 drops in 15 ml warm water to be given every 15 minutes. After 20 minutes respiration rate
slowly came down, wheeze was reduced. Within an hour there was betterment in
the patient.
Before giving Blatta
Orientalis Q we wanted to shift the patient to a hospital either for
nebulisation or for oxygen. Giving both
Carbo veg 30C and Blatta Orientalis Q we could avoid hospitalisation
Case
5:Female aged about 27 years ,married, came with
agonising pain in lower abdomen, difficult to pass urine, constant urge to pass
urine with pain, with few blood streaks in urine , patient was restless,
Cantharis 30c , 5 doses were given asked
her to take one dose every half an hourly and
advised her to watch the pain, if she is better by 20% advised her to stay back in the house and
report back after 24 hours if not advised her to go to a hospital .She phoned me that after 4th dose of Cantharis she passed multiple stones, pain
totally reduced within 8 hours ,
which she collected they are shown below visual .
Conclusion:
In
this case most probable diagnosis was ureteric calculus Constant urge
to pass urine with pain, with few blood streaks, patient was restless. Cantharis
30c, 5 doses were prescribed.
Case
no 6: A lady aged
55 years had sudden fall after waking up and went into coma. She was brought to
city from Jangam. She was taken to local govt hospital and was admitted, case was
examined by Neuro physician, they told the attenders that it is a case of CVA,
utmost she may survive for 72 hours as the GCS was 3, there is no treatment for
this, As patients son was known to me I gave Arnica 30c in water dose asked to
repeated every 4th hourly. After 24 hours BP and pulse was slightly
stabilised , Arnica 200c , was given , No response even after 48 hours, 72
hours cut out time given by Neuro physician, was over , as right side is
affected I gave Causticum 200 C, was
given and waited for 48 hours , f or me I could not find much improvement, but
Attenders of patient
were positive. Absolutely there was zero cooperation from staff; staffs were inadequate
emergencies were UN imaginable, only one PG on rotation was present. She died
on 8th day.
Case
no 7: One at 10 pm
my own maid servant aged 75 years had
sudden complained of severe headache , followed by vomiting, became drowsy, BP
was fluctuating , pulse rate was high , an elderly lady , I thought it could be
a CVA, I gave Arnica 30c in water dose
and shifted her to a nursing home, where she went into coma , provisional
diagnosis was CVA , she died around 3AM .
In above two cases I
could not do much, both cases were diagnosed as Cerebro vascular accidents i.e.
cerebral Haemorrhage.
Case 8 :It 1 pm I was called by aunt urgently, when I reached the scene from college, my uncle aged about 70 years,
was behaving oddly, moving from one end to other end, since half an hour. I
could not get any information except he was a diabetic, Hypertensive, I was not
having BP apparatus to measure BP, and He was not allowing me to touch. Pulse
was 90PM.he was on oral medication for diabetics. Options were many for above
case but time is running out, I phoned 108 ambulance, luckily glucometer was there I tested RBS was
45. He was forcible given sugar water and sifted to hospital by 1.30 PM. Even
though we are in medical profession we don’t carry emergency kits with us. For
him to recover it took 36 hours.
Acknowledgment: I pay my respect to my teacher Dr K Siva
shanker, Former Addl Director, AYUSH Dept for advising us to keep the theme of
the conference as homoeopathy-Medical Emergencies. I thank my entire patient
who was my source to gain knowledge and experience and permitting to use their
data.
Reference:
Sunday, December 18, 2011
Devs Homoeopathic college students,Pharmacy tour
Pharmacy tour to
Dharmakiran Homoeopathic Pharmacy at Medak district ON 23RD Nov 2011
by Devs Homoeopathic college students.
Dr B Sohan Singh explained the students various units of his Pharmacy.
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