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Creating Waves of Awareness

Normally, when a patient comes to us, first we take the case, and then do the clinical examination, one after the other. But there are certain situations wherein we must do the clinical examination first, especially local examination, and then decide whether to take the case or refer to a higher center!

I had one case of a child aged 3years, who was brought to me at night. After having food, he was sleeping, but got up from the bed crying loudly. He was pointing at his left ear and crying for help. As usual, they instilled some eardrops used by somebody (common mistake done by most of the people). But there was no relief at all; hence the whole family brought him to me at 9PM.

On examination with the otoscope, I could notice a small insect inside the left ear. With the help of wax-hook, I could probe the legs of the insect, after which I could easily remove the insect with a curved artery forceps. Or else, I would have to refer the case to an ENT surgeon, because sometimes we may push the foreign body towards the tympanum causing injury.

Now, in this case, I could have taken his case in terms of Location, side, sensation, modality, concomitants, etc., and finally give a remedy on the basis of totality. But that is an utter foolishness!

The case only decides our approach. If the cause can be removed mechanically, why should we give a dynamic remedy?
Of course, I gave him a dose of Acon 200 before the procedure. After the task, I also prescribed the second best remedy to make them happy.

Dr Muhammed Rafeeque

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Comment by Dr Muhammed Rafeeque on June 12, 2013 at 12:51am

Thanks for the comments.

Comment by Debby Bruck on June 2, 2013 at 9:08am

Great story and practice.

Comment by Dr. Wequar Ali Khan on June 1, 2013 at 10:51am

YES  a very pragmatic approach

"If the cause can be removed mechanically, why should we give a dynamic remedy?".

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