Monday, January 23, 2012

My mother is a poem, Dr Kusuma N Rao

My mother is a poem


I'll never be able to write,

though everything I write

is a poem to my mother.

~Sharon Doubiago

This is the poems written by my sister in law Dr Kusuma N Rao about her mother who happens to be my mother in law. Dr Kusuma N Rao is a Gynaecologist, who owns  a nursing home at Ameerpet, Hyderabad. Which is five decades old? In her  series of poems she showered her affection towards her mother.
The title of the book is maayamm saraswathmma. The book was released on 14th Jan 2012 on the eve of alumni  of their school .  




Sunday, January 15, 2012

To,

All near & dear all over the Globe,

Sankranti, the festival of the Sun is here ! May it bring you greater knowledge and wisdom and light up your life for the entire new year. Happy Sankrantu -Dr G R Mohan

Friday, January 13, 2012

Vivekananda birth day celebrations at Devs Homoeopathic medical college, Ankireddy palli, Keesara Mandal, R R district Of Andhra Pradesh


150th Swami Vivekananda birth day celebrations were celebrated by Devs Homoeopathic medical college, Ankireddy palli, Keesara Mandal, R R district Of Andhra Pradesh on 12th Jan 2012. An elocution competition was conducted for homoeopathic students; the topic was ‘Never say, ‘No’, never say, ‘I cannot’, for you are infinite. Even time and space are as nothing compared with your nature. You can do anything and everything; you are almighty- 23 students participated in the elocution competition. Mr Krishna Vikas of 1st BHMS (Ju) won the first prize, Ms Rubeena of 1st BHMS (Sr) won the 2nd Prize, 3rd Prize was shared by Ms Sravanthi of 1st BHMS (Sr) and Ms Jyothi Asok Choudary of of 1st BHMS (ju).the Prizes were sponsored by Dr Sarojini Devi, Lecturer of the college in the name of her beloved late father. Dr G R Mohan, Principal of the college distributed the Prizes.

Sunday, January 8, 2012

Lycopodium clavatum in a Case of Gilbert’s syndrome

Lycopodium clavatum in a Case of Gilbert’s syndrome

Gilbert syndrome is a presumably lifelong disorder; it is a common, mild liver disorder, in which the liver doesn't properly process bilirubin.
Gilbert’s syndrome affects 3 to 10 percent of the U.S. population. More males are affected then females.  Because males tend to produce higher levels of bilirubin, a male-to-female ratio is ranging from 2-7: 1, and occurs in all races (2). This Syndrome may become apparent shortly after birth; it may not be recognized for many years. It is rarely diagnosed before puberty because production of bilirubin increases at this point. It is usually diagnosed around puberty, possibly because of the inhibition of bilirubin glucuronidation by endogenous steroid hormones. In older persons, the diagnosis is usually made when unconjugated hyperbilirubinemia (1, 3).
In some early reports of Gilbert Syndrome autosomal dominant disease had been suggested (7), Genetic basis was achieved only in year 1995 (2), but a clear genetic pattern is often hard to establish. Sometimes it is misdiagnosed as chronic hepatitis. Dehydration, fasting, viral infection, Menstrual periods and Stress such as trauma and overexertion are Other Common causes (2).


30% of patients are asymptomatic, Fatigue, nausea, abdominal pain and diarrhea may also occur but these are much less definitive in determining the diagnosis. The mild jaundice may be especially evident. Pigmented skin thickenings, similar to moles and soft yellow spots (xanthelasma) on eyelids may occur. An increase in pigmentation on exposure to light and heat are other symptoms of this liver disorder. Enlargement of the liver and spleen are rarely seen.

Gilbert syndrome can be diagnosed by a thorough history and physical examination and confirmed by standard blood tests. Repeated investigations and invasive procedures are not usually justified for establishing a diagnosis (3).

Homeopathic concept: Gilbert syndromes fundamental cause can be psoro syphilitic with few exiting causes like stress, strain, and exposure to heat. In a day to day practice we are missing this syndrome and treating for other hepatic causes. Few months back a case was referred to me with clinical diagnosis as Gilbert syndrome. The following is the case.



CASE SHEET

Code: 207B

Name: Mr. M Age: 25Y Sex: M

Occupation: soft wear engineer Religion: Hindu, weight: 50kgs

Address: Hyd Marital status: not married

PRESENTING COMPLAINTS:

Nausea on and off since 2 years

< Fatty food 2 years,

No work stress, food > warm food,

Desire fat food 8 months

< riding in a car or bus 6 months

Loss of appetite since 8months



HISTORY OF PRESENTING COMPLAINTS:



Complaints developed gradually. Two years back the patient developed nausea, took allopathic medicines with a family physician for 8 months with partial relief, then he consulted gastroenterologist, he after doing investigations he diagnosed the condition as Gilbert’s syndrome. In spite of his treatment for over a year his symptoms persisted with every three months remission. With this patron of symptoms he developed anxiety about his health; Contradiction < with out work stress, he opted for Homoeopathic treatment. Nausea on and off since 2 years , no particular time , < fatty food ( Puri , Biriyani etc ) on and off since 2 years , desire fat food 8months , food > warm food , < riding in a car or bus since 6 months . He developed loss of appetite since 8months.





PAST HISTORY:



Since 2 years every 3-4 months similar complaints in spite of allopathic treatment



FAMILY HISTORY: father and Mother alive with apparently good health. Maternal or paternal side history he was not able to tell because he was away from home.

PERSONAL HISTORY:

Appetite: Diminished

Thirst: Decreased

Diet: vegetarian

Desires: fats +

Aversions: --------

Bowel movement: Regular / Satisfactory

Micturation: normal

Perspiration- np

Sleep: refreshing

Dreams: occ dreams which he cannot remember

Habits & Addictions: -

Sexual functions: -N



LIFE SPACE INVESTIGATION:



Patient was brought up in a middle class family. He was brought up with supporting love and care, with frequent transfers to his father he studied in boarding school, he was little shy, his schooling and college life were normal and got his engineering degree. and got job as software engineer. He developed nausea, < fat foods. Of late he developed anxiety about his health; Contradiction - intolerant due to present illness.



SOCIO-ECONOMIC AND OCCUPATIONAL HISTORY: Good, no work stress.

INTER PERSONAL RELATIONSHIP: satisfactory, mixes with people when ever it is needed.



PHYSICAL EXAMINATION:

General appearance: anxious look.

Built & nourishment: Thin built,

Skin: normal,

Cyanosis: Absent

Scalp: N hair: occ dandruff,

Eyes: n

Sclera: NAD conjunctiva: Pale

Oral cavity: NA D

Tongue: N

Teeth: hygienic,

Gums: hygienic,

Lips: normal,

Lymph nodes: not enlarged

Nails; N

Skeletal deformity: absent

Edema: absent

VITAL SIGNS;

Pulse rate: 70 PM

Temperature: N

Resp rate: 15

Blood pressure: 110/80mmHg



SYSTEMIC EXAMINATION:

Respiratory system: NAD

Cardiovascular system: NAD

Gastro-intestinal system: Abdomen soft, moveable. Liver palpable,

CNS & PNS: NAD

PROVISIONAL DIAGNOSIS: Gilbert’s syndrome



INVESTIGATIONS:

Liver and Spleen scan (colloid): Hepatomegaly with multiple photopenic areas.

Red cell fragility test: 0.42% (0.48 % Nacl)

Complete urine examination: no abnormality

Total Bilirubin: 2.4 mg/dl, Alkaline Phosphatase: 170 U/L

Glucose-6-phosphate dehydrogenase (G6PD): N 185U/10 RBCs

Reticulocytes: 1%.



CLINICAL DIAGNOSIS: Gilbert’s syndrome



ANALYSIS OF SYMPTOMS:



EVALUATION OF SYMPTOMS:

REPOTORIAL TOTALITY:

1) Anxiety - health; about - own health; his

2) Contradiction - intolerant of contradiction

3) Warm food – desire,

4) Fatty food - agg.

5) Nausea

6) Nausea, riding in a carriage or on the cars, while

7) Thirst less



RESULTS OF REPERTORIZATION:

ANALYSIS OF REPERTORIAL RESULTS:

Repertrisation was done on Radar software.

Lycopodium clavatum 47/22, Sepia officinalis 47/19, Arsenicum 44/19, Cocculus indicus 39/18, Pulsatilla 39/16 (as shown in Repertrisation chart)

DISEASE DIAGNOSIS: Dynamic chronic fully developed miasmatic disease



MIASMATIC DIAGNOSIS: Psoro – sycotic

SUSCEPTIBILITY: Moderate

REMEDY SELECTED: Pulsatilla (5, 6)

First prescription Pulsatilla 30C, in my mind I wanted to give Lycopodium but as it is a first prescription I thought of giving Pulsatilla 30C on following reasons a) fats >( 3) ,b) thirst less (3) patients expressions were little shy.(5,6)



POTENCY SELECTED: 30C

PLAN OF TREATMENT, MANAGEMENT & FOLLOW-UP:



Dietic: advised to take a nutritious diet more of fruits, and avoiding fasting and skipping meals (Patients has been warned about the causation like misses meals, become dehydrated, viral infection or stress (2)









22/07/06 Pulsatilla 30c, 3doses, placebo 15days were given,

06/08/06 no change,

Pulsatilla 30c, 3doses, placebo 15days were given,

20/08/06 no appetite, nausea is less by 10%,

Lycopodium 30, doses, placebo for 15days were given,

03/09/06 Anxiety about health came down; appetite increased, nausea is less by 50%, placebo for15days were given,

17/09/06 Anxiety is less, appetite increased, nausea is less by 80%, and weight went up to 50.5 kgs,

Lycopodium 30, doses, placebo for15days were given,

30/09/06 Anxiety is less, appetite: normal, nausea is less by 80%, able eat fat prepared items and digest.

Placebo for15days were given.

04/10/06 GC good, weight 51kgs, no nausea, able to digest every food,

Sulphur 30 as a closing remedy, 3doses was given and placebo for15days were given.

Case was reviewed on 05/04/07 (6months) patient was able to tolerate all food, earlier every 3months remission was there, which was not seen.


Full length article published in The Homoeopathic Heritage, Vol 32,no 8 ,August 2007 .

******

















Lycopodium clavatum in a Case of Gilbert’s syndrome


Lycopodium clavatum in a Case of Gilbert’s syndrome
 Gilbert syndrome is a presumably lifelong disorder; it is a common, mild liver disorder, in which the liver doesn't properly process bilirubin.
Gilbert’s syndrome affects 3 to 10 percent of the U.S. population. More males are affected then females.  Because males tend to produce higher levels of bilirubin, a male-to-female ratio is ranging from 2-7: 1, and occurs in all races (2). This Syndrome may become apparent shortly after birth; it may not be recognized for many years. It is rarely diagnosed before puberty because production of bilirubin increases at this point. It is usually diagnosed around puberty, possibly because of the inhibition of bilirubin glucuronidation by endogenous steroid hormones. In older persons, the diagnosis is usually made when unconjugated hyperbilirubinemia (1, 3).
30% of patients are asymptomatic, Fatigue, nausea, abdominal pain and diarrhea may also occur but these are much less definitive in determining the diagnosis. The mild jaundice may be especially evident. Pigmented skin thickenings, similar to moles and soft yellow spots (xanthelasma) on eyelids may occur. An increase in pigmentation on exposure to light and heat are other symptoms of this liver disorder. Enlargement of the liver and spleen are rarely seen.
Gilbert syndrome can be diagnosed by a thorough history and physical examination and confirmed by standard blood tests. Repeated investigations and invasive procedures are not usually justified for establishing a diagnosis (3).
Homeopathic concept: Gilbert syndromes fundamental cause can be psoro syphilitic with few exiting causes like stress, strain, and exposure to heat. In a day to day practice we are missing this syndrome and treating for other hepatic causes. Few months back a case was referred to me with clinical diagnosis as Gilbert syndrome. The following is the case.

CASE SHEET
                                  Code: 207B
Name: Mr. M   Age:     25Y                  Sex: M
Occupation:     soft wear engineer      Religion: Hindu, weight: 50kgs
 Address:         Hyd                  Marital status: not married
PRESENTING COMPLAINTS:
Nausea on and off since 2 years
< Fatty food 2 years,
No work stress, food > warm food,
Desire fat food 8 months
< riding in a car or bus 6 months
Loss of appetite since 8months

HISTORY OF PRESENTING COMPLAINTS:

Complaints developed gradually. Two years back the patient developed nausea, took allopathic medicines with a family physician for 8 months with partial relief, then he consulted gastroenterologist, he after doing investigations he diagnosed the condition as  Gilbert’s syndrome. In spite of his treatment for over a year his symptoms persisted with every three months remission. With this patron of symptoms he developed anxiety about his health; Contradiction < with out work stress, he opted for Homoeopathic treatment. Nausea  on and off since 2 years , no particular time , < fatty food ( Puri , Biriyani etc )  on and off since 2 years , desire fat food 8months , food  > warm food , < riding in a car or bus since 6 months . He developed loss of appetite since 8months.


PAST HISTORY:

Since 2 years every 3-4 months similar complaints in spite of allopathic treatment

FAMILY HISTORY: father and Mother alive with apparently good health. Maternal or paternal side history he was not able to tell because he was away from home.
PERSONAL HISTORY:
Appetite: Diminished
Thirst: Decreased
Diet: vegetarian 
Desires: fats +
Aversions:  --------
Bowel movement: Regular / Satisfactory
Micturation: normal
Perspiration- np
Sleep: refreshing
Dreams: occ dreams which he cannot remember
Habits & Addictions: -
Sexual functions: -N

LIFE SPACE INVESTIGATION:

Patient was brought up in a middle class family. He was brought up with supporting love and care, with frequent transfers to his father he studied in boarding school, he was little shy, his schooling and college life were normal and got his engineering degree. and got job as software engineer. He developed nausea, < fat foods. Of late he developed anxiety about his health; Contradiction - intolerant due to present illness.
 
SOCIO-ECONOMIC AND OCCUPATIONAL HISTORY: Good, no work stress.
INTER PERSONAL RELATIONSHIP: satisfactory, mixes with people when ever it is needed.

PHYSICAL EXAMINATION:
General appearance: anxious look.
Built & nourishment: Thin built,
Skin: normal,
Cyanosis: Absent
Scalp: N                                                                       hair: occ dandruff,
Eyes: n
Sclera: NAD                                                                 conjunctiva: Pale
Oral cavity: NA D       
Tongue: N
Teeth: hygienic,
Gums: hygienic,
Lips: normal,
Lymph nodes: not enlarged
Nails; N  
Skeletal deformity: absent
Edema:  absent         
VITAL SIGNS;
Pulse rate: 70 PM
Temperature: N
Resp rate: 15
Blood pressure: 110/80mmHg

SYSTEMIC EXAMINATION:
Respiratory system: NAD       
Cardiovascular system: NAD 
Gastro-intestinal system: Abdomen soft, moveable. Liver palpable, 
CNS & PNS: NAD       
PROVISIONAL DIAGNOSIS: Gilbert’s syndrome

INVESTIGATIONS:
Liver and Spleen scan (colloid): Hepatomegaly with multiple photopenic areas.
Red cell fragility test: 0.42% (0.48 % Nacl)                                       
Complete urine examination: no abnormality
Total Bilirubin: 2.4 mg/dl, Alkaline Phosphatase: 170 U/L
Glucose-6-phosphate dehydrogenase (G6PD): N      185U/10 RBCs
Reticulocytes:  1%.

CLINICAL DIAGNOSIS:  Gilbert’s syndrome

ANALYSIS OF SYMPTOMS:

EVALUATION OF SYMPTOMS:
REPOTORIAL TOTALITY:
1) Anxiety - health; about - own health; his
2) Contradiction - intolerant of contradiction
3) Warm food – desire,
4) Fatty food - agg.
5) Nausea
6) Nausea, riding in a carriage or on the cars, while
7) Thirst less

RESULTS OF REPERTORIZATION:
ANALYSIS OF REPERTORIAL RESULTS:
Repertrisation was done on Radar software.
Lycopodium clavatum 47/22, Sepia officinalis 47/19, Arsenicum 44/19, Cocculus indicus 39/18, Pulsatilla 39/16 (as shown in Repertrisation chart)
DISEASE DIAGNOSIS: Dynamic chronic fully developed miasmatic disease

MIASMATIC DIAGNOSIS: Psoro – sycotic
SUSCEPTIBILITY: Moderate
REMEDY SELECTED: Pulsatilla (5, 6)
First prescription Pulsatilla 30C,  in my mind I wanted to give Lycopodium but as it is a first prescription I thought of giving Pulsatilla 30C on following  reasons  a) fats >( 3) ,b) thirst less (3) patients expressions were little shy.(5,6)

POTENCY SELECTED: 30C
PLAN OF TREATMENT, MANAGEMENT & FOLLOW-UP:

              Dietic:  advised to take a nutritious diet more of fruits, and avoiding fasting and skipping meals (Patients has been warned about the causation like misses meals, become dehydrated, viral infection or stress (2)




22/07/06    Pulsatilla 30c, 3doses, placebo 15days were given,
06/08/06    no change,
                  Pulsatilla 30c, 3doses, placebo 15days were given,
20/08/06    no appetite, nausea is less by 10%,
                  Lycopodium 30, doses, placebo for 15days were given,
03/09/06 Anxiety about health came down; appetite increased, nausea is less by 50%,                 placebo for15days were given,
17/09/06 Anxiety is less, appetite increased, nausea is less by 80%, and weight went up to 50.5 kgs,
                  Lycopodium 30, doses, placebo for15days were given,
30/09/06    Anxiety is less, appetite: normal, nausea is less by 80%, able eat fat prepared items and digest.
                    Placebo for15days were given.
04/10/06   GC good, weight 51kgs, no nausea, able to digest every food,
                 Sulphur 30 as a closing remedy, 3doses was given and placebo for15days were given.
Case was reviewed on 05/04/07 (6months) patient was able to tolerate all food, earlier every 3months remission was there, which was not seen.




Wednesday, January 4, 2012

Farewell 2011, Welcome 2012 BY Titan Batch ,1ST BHMS of Devs Homoeopathic medical college,A P

Farewell 2011, Welcome 2012 BY Titan Batch ,1ST BHMS of Devs Homoeopathic medical college,A P

Navigator Batch (seniors) BHMS, Farewell 2011, Welcome 2012, at devs homoeopathic medical college, A P

Navigator Batch (seniors) BHMS, Farewell 2011, Welcome 2012, at devs homoeopathic medical  college, A P

Farewell 2011, Welcome 2012 by Staff, devs homoeopathic medical college,Ankireddypalli, AP

Farewell 2011, Welcome 2012 by Staff

Sunday, January 1, 2012

New Year's resolutions

New Year's resolutions



Improve well-being: lose weight, exercise more, eat better, drink less alcohol, quit smoking, stop biting nails


Improve finances: get out of debt, save money


Improve career: get a better job


Improve education: improve grades, get a better education, learn something new (such as a foreign language or music), study often,


Improve self: become more organized, reduce stress, be less grumpy, manage time, be more independent, perhaps watch less television, play less sitting-down video games


Take a trip


Volunteer to help others, practice life skills, use civic virtue, give to charity

(Wikipedia)