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Dear Dr. Bidani,
As you have much experience in translating the language of patients into rubrics following the method of Dr. Sehgal I would like to ask you if you could explain the rubric "Fear of extravagance". I know that it is much used but I have never been quite able to completely understand when it should be used.
Thank you very much!
Irene

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Sure, generally, we know the meaning of the word "Extravagance" as belonging to monetary affairs. But we uses this rubric to mean an excess of anything. If a patient expresses that he has been waiting for many days, and there has been no relief and says, "How much longer shall I wait, only there is a limit to how much I can put up with". This statement can then be interpreted as FEAR OF EXTRAVAGANCE.

Interpretation:
That part of a spending which an individual feels is in excess of what in his estimation is the right limit. Each individual has his own measurement of the excess. A person may like to pay certain amount of money for a thing and if he is asked to pay a penny more he wil not agree to pay as it exceeds the limit - amount - he has in mind.

Version:
"Doctor previously you were never taking so much time. So much so that very serious ailments were treated by you within a short time. Now for this minor trouble you are taking too much time."
Not only Dr. Sehgal but Dr. Rajan Sankaran utilised & interpret this rubric as:

If a patient expresses `I am scared of my problem getting worse’, it is Interpreted as ”Fear, Extravagance of ”. So also, if the patient had some problem earlier which was trivial at that time for which he took no medication and now the problem has increased and is causing him concern then, it is Interpreted as "Indifference” and "Fear, Extravagance of”
You are absolutely right Joy but that comes under differentiation of medicines in a rubric. Once you get to know the rubric, the next step is to differentiate the medicines.
Like there are so many medicines in a rubric 'Forsaken Feeling' but the important task is to understand how & why a particular medicine is having forsaken feeling. Way back I wrote an article on it, would like you to read it & give comments. Here's a link Forsaken Feeling

Thanks & Regards.
Hi Joy! Its nice to meet you here. I always read your study group although am a bit frustrated that for now I have not been able to contribute much.

I am just starting to be informed about the Sehgal method and Yogesh Sehgal is coming to Slovakia for a seminar. I think that its usefullness is that it enables you to link certain comments that the patient makes with certain rubrics. This is not useful or necessary always but it has proved to be very practical in cases where there is almost no symtoms or patients are really not providing very much usefull information. Expressions like: Doctor you are my last chance,or I was just passing by and decided to pop in a ask you about my problem, or, I have had this problem for seven days and today I decided its time to go to the doctor, just comments of the patients. Once you can link these comments to rubrics you must then, of course, study all the remedies that come up in your repertorization and select the most appropiate for that individual patient. To be honest when I first got information about this method I was a bit shocked, some comments are linked to rubrics that seemed very far fetched to me and it cost me to understand the reason why certain comments are related to certain rubrics and I know the same happens with my fellow students, but it is really very effective clinically and once you start to understand it its quite logical.
Many regards!
Irene
Dear Dr. Bidani,
Thank you very much for your answers, they clarified the rubric to me very well.
Our teacher informed us that this method is very little known, it seems not known at all in USA, its a pity, very usefull. Also he told us that Sankaran's sensation method is really based on Sehgal's (Sehgal father).
Kind regards
Irene
Let's take a step forward by differentiating Fear of Extravagance with Fear of pain with this example.

Patient says " I have severe pain while passing stool so much that I can't bear it at that time. I can bear everything except pain. The very thought of pain horrifies me. That is why , I avoid going to toilet".
So here the rubric is 'Fear pain of and fear suffering of'

Another patient says "Dr I was having this pain for a week but I did not give much attention to it as I could move despite this pain. But since last night the pain has increased. Now I am unable to bear it. I fear if this goes on like this then it will increase further.

Interpretation: Here the patient though concerned about pain, but he is giving more emphasis on its growing worse. He has no problem if the pain does not increase. He is afraid not of pain, but its intensity, its growing worse.
So the rubric here will be 'fear, extravagance of' and not fear of pain.
I have also started a discussion about the topic few hours above. I have just seen yours. But ok.. discussing the same topic in different views gives more informations and visions.
Dear Bidani Thank you very much your explanation I learn some new ideas.
This has been an enlightening discussion over the period of years. Only on the network that documents and records can we continue to bring in new people to the discussion. Thank you Navneet for starting this thread.

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