Date of the consultation : 17th
March 2012
Description
of the patient
“Borra
Tintas" is a 5 years old (born approx. June 2007) cross-breed medium
size, castrated male canine, he was adopted by a couple at the age of
two months.
Main Complaint
He
suffers from convulsive "fits" and was given a diagnosis of refractory
epilepsy due to the fact that even while under two heavy anti-epileptic
drugs (phenobarbital + potassium bromide) he still develops epileptic fits.
Origin: It all started a day after hearing some fireworks. A week before there
was a fire in his house that burnt part of it. He was the one to
notice the fire and gave the alert barking constantly. A few months
earlier his owner had passed away due to a
fatal car accident and left him with a great grief.
Causative
factors: Fireworks, thunderstorms (he anticipates them and fears
them), cold weather, veterinary visits, whenever a bitch around the
house is on heat (reproductive cycle).
Modalities: Aggravates from fears, stress and cold.
Description: Before the fits he trembles, smells like sewage and his fur starts to
glue as if dirty (this also happens when he is anxious or at the
vet), walks disoriented, agitated, and starts losing the strength of
his back limbs until complete paraplegia. Then comes the fit beginning with a spastic extension of extremities and neck, starting from the
tip of extremities (nails) and extending upwards completing the whole
body. He also licks himself all over before and after the fits. He
does not lose control of his sphincters neither has excessive salivation.
Posterior to the fits he suffers from disorientation, ataxia, loss of
sight and weakness remaining very sluggish and slow for up to 3 days.
Frequency: In less than one and a half year, since December 2010, he had five
fits although strongly medicated.
Other complaints
He
also suffers from itchy anus, therefore scratches his anus against the
floor frequently.
He likes to be left alone when
feeling sad (which is often) and does not like to be consoled.
He
sighs a lot.
He does not like dark people and there are some persons that he just cannot stand.
He is afraid of shadows and darkness.
He barks at noisy things (cars, motorcycle, even when
the neighbor cuts the grass with the machine).
He hates people´s
smoke, cannot stand their smell even after they
have finished smoking.
He has changeable moods very often during the
day, but is overall more sad than happy and sometimes sits still staring nowhere.
He is very sensitive
with the moods of the owner, tries to console her when she feels sad.
Personal
Medical History
Supressive therapy: He had strong long standing supressive therapy with painkillers, sedative and antibiotics during his fracture.
Vaccination: He has annual vaccination protocols against Rabies, core and non core vaccines.
Acute diseases: The owner cannot recall any acute illness in his life, nor any episode of fever
Chronic ailments: He does not have any chronic ailment
Personal medical file from referral clinic: This information is available upon request to the author (please send an Email if you are interested).
Vaccination: He has annual vaccination protocols against Rabies, core and non core vaccines.
Acute diseases: The owner cannot recall any acute illness in his life, nor any episode of fever
Chronic ailments: He does not have any chronic ailment
Personal medical file from referral clinic: This information is available upon request to the author (please send an Email if you are interested).
Familiar
medical history
No
info on the subject was available.
Physical
generals
Reaction
to climate: He prefers and seeks heat, but is not specifically
chilly. He hates rain, cannot stand to wet himself and will not go
out when raining.
Sleeping
habits: He likes to sleep covered and always in contact with someone,
he sleeps well and snores.
Food
modalities: He barely eats in the morning, mostly eats in the
afternoon and little by little, he sometimes doesn´t eat at all for
a whole day. He used to like eating fruits and now he does not eat at all. When
he drinks water, part of the water comes out of his nose and he
drinks quite a lot. He also likes sweets and loves ice cream.
Bathing:
He likes taking a bath but as soon as he gets out of it he searches
for something or somewhere to dirt himself on.
Analysis
Anatomopathological
analysis: His main complaint is on the mental sphere and probably due to
emotional disturbances.
Depth
of the disturbance: It is a very deeply rooted disturbance since all his symptoms
are on the mental level and only a few are on the emotional and none on the physical level.
Personal
medical history: His fears have developed and have been growing since
he had the accident (fracture) then he suffered a few emotionally traumatic experiences one after the other, these shock were probably overwhelming due to them he developed the seizuires.
Familiar
medical history: No information.
Conclusion/prognosis: Due to the fact he does not develop acute illness, according to Vithoulkas theory of levels of health, he can either be in a high level of health despite the ailment and therefore might be cured with a single dose of a single remedy or else, most probably, might need more than one remedy in which case he must be
in the higher levels of the 3rd group because he has not developed
high fevers or acutes in a long period (owner cannot recall any).
Due to
the fact his mental level took the whole burden and developed the
epileptic fits he might be in a higher level of health but had a great grief.
Selection
of symptoms:
Peculiar
symptoms: anticipates thunderstorms, watery discharge from nose when
drinking water, aversion to certain persons.
Intense
symptoms: convulsions, fruit aversion, sighing, ailment from grief
and fear.
Repetorization:
Rhododendrum, Natrium Carbonicum, Ignatia and Phosphorus are the most prominent remedies. The grief that “Borra Tintas” suffers is
the essences of his actual ailment so the choice for the first remedy is highly influenced by this fact and therefore must be taken into great consideration and hopefully be the essence of the remedy. That is why Ignatia was
chosen as the first remedy.
Potency:
One unique dose of Ignatia 200K was given. The reasoning for the
chosen potency was decided by the analysis: since Borra Tintas has no chronic disease and does not suffers from acute diseases, he seems to be on a high level of health, therefore we could give him a higher potency. The other reason is that the potency needs to be high enough to be able to
touch the mental sphere, that is why it had to be 200K or more. I chose 200K because first I need to be certain
that this is the remedy and I do not wish to provoke a greater aggravation by giving a higher potency. Most probably I will have to
repeat this dose or according to the reaction even raise the potency.
Other
remedies: Continue with current allopathic medicine and slowly lower
the dose over a period of months after evaluations of symptomatology. In case of excitement or to calm him I also suggested to have Valerian pills available at home.
Follow Up 1: 22-March-2012
Aggravation:
The same day he took the remedy (Saturday 17-03-2012) he had spasm of
his left back leg. On the next day, that is Sunday afternoon, as the owners started packing
bags to travel back to Lisbon, he developed anxiety and on the next
day, that is, on Monday (26th
March 2012) he had a fit at 20:00 (they had traveled from Algarve to
Lisbon, 300km and arrived at 15:00), the fit was less intense, lasted
fewer time, he recovered quickly from it, and he did not lose control of
his back legs. I recommended using preventive valerian pills for any
stressful moment that might come in future and to start lowering the
allopathic drugs slowly in at least a six to nine month period,
starting with the phenobarbital and slowly. No homeopathic remedy was given.
Comments: An aggravation is considered to be a very good reaction, it confirms that the remedy is acting, is probably the right remedy and that the patient might be in a higher level of health, time and the following reactions will determine if this is so.
Comments: An aggravation is considered to be a very good reaction, it confirms that the remedy is acting, is probably the right remedy and that the patient might be in a higher level of health, time and the following reactions will determine if this is so.
Follow Up 2: 2012-May-26
No
fits since 26th
of March. He has changed his spirit, does not isolate himself and
always seeks for company. Doesn´t sigh anymore and licks everyone at
home, he didn´t use to do that in the past. He recovered his
appetite for fruits. Much more sociable
with neighbors and he enjoys company of neighbor´s dogs. He is
going after trucks or noisy vehicles but only to protect his
territory, even with people cutting the grass. No homeopathic remedy.
Comments: This reaction confirms the remedy acted, was the correct remedy, he is a patient in a higher level of health and will probably need less remedies or repetitions that I anticipated
Comments: This reaction confirms the remedy acted, was the correct remedy, he is a patient in a higher level of health and will probably need less remedies or repetitions that I anticipated
Follow
up 3: 2012-December-05
He
is doing well but had a spastic episode of his lower limbs while
running on the fields, the owner thinks it is due to the fact that it
was very early in a cold winter morning and the grass was wet so he might
have had a cramp. It has been two months since he does not take any
phenobarbital and one month since the last dose of the potassium
bromate. No homeopathic remedy.
Comments: He has definitively a very strong vital force and is most probably in group one, level one of the health scale as defined by Vithoulkas theory.
Comments: He has definitively a very strong vital force and is most probably in group one, level one of the health scale as defined by Vithoulkas theory.
Follow Up 4: 2013-February-21
He
came for his Rabies vaccination. The owner tells me he never had any fit since 26th
march 2012, and he has been out of anti-epileptic drugs for over 4
months already. No other homeopathic remedy was ever given after the unique initial dose of Ignatia 200K.
Follow
Up 5: Phone call on 2013-September-09
It
has nearly been 1,5 years since he took the remedy and he is still
doing very well. Not taking any
remedy at all.
Note:
This case was published as a clinical case in a Portuguese Veterinary Journal as follows;
Caso clínico: “Alterações neurológicas - Duas abordagens complementares”
Veterinária atual Nº54, October 2012, pages 26-28
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