Management of Clinical cases

The third CME for the year 2021, was held on 7th March with two eminent Research-oriented speakers Dr. Uttareshwar Pachegaonkar and Dr. Shripad Hegde.
The webinar commenced with the traditional Shankanadham by Prof Dr. B D Patel followed by welcoming all the participants and Introduction of the 1st Speaker Dr. Uttareshwar Pachegaonkar by Past President Dr Chaitali Kulkarni.
>br> Dr Pachegaonkar thanked KQHDA and Dr B D Patel for organizing a biggest National Seminar in Pondicherry in 2018 where out of 100 attendees 60 were from Bangalore.

He started the first session with basics about health, qualities of physician, management of a case, advice on diet and Regimen, approach of different school of thoughts which consider either, mentals alone, predictive, sensations, keynotes prescriptions. He further highlighted about different school of thoughts like mental alone, predictive, delusion, keynotes, Drainage remedy which are tissue based or pathology bases or giving an acute before deep acting remedy. All these schools follow same principle of treating patients.

He cautioned on being careful with constitutional remedies, if patient is taking remedy for a long period, he may start proving the remedy and it may be difficult to antidote. Hence to avoid such scenario, drainage remedies can be prescribed before giving the constitutional. In Genus epidemicus after studying the symptoms during the pandemic a drug can be reached. Quick prescriptions are helpful in acute exacerbations, in injuries, etc.

He shared few cases where organ remedies were given before prescribing constitutional remedies. Case 1: A case of wet Gangrene in rt lower limb, wherein a lady had thrombus in the main femoral artery causing Obstruction for blood flow in the popliteal artery. The doctors had advised amputation. Remedy based on pathology such as Symphytum 3x, hypericum 3 x and Secale Cor 3x hourly doses were given and results were astonishing saving the amputation.

Case 2: A case of h/o breathlessness with LVEF 25%, organ based remedy like Crataegus 3 x, Strophanthus 6 x 5 drops t.i.d, followed by Baryta mur and patient responded beautifully within six months with LVEF of 50%. Patient vitals were good, was feeling energetic and was followed with constitutional remedy. This case shows that we should not hesitate to give organ remedy if indicated and can be followed with constitutional remedy.

Case 3: A case of Hemorrhoids which occurred after surgery where he had expulsion of blot clot instead of stools which indicated suspicion of CA Rectum and responded very well to drainage remedy like Ruta 6x for Ca Rectum, Thuja 6x followed by his constitutional remedy Lycopodium.

He concluded the session with use of drainage remedies in common complaints like Tonsillitis, Hepatitis, Toothache can be treated along with constitutional remedies in our day-to-day treatment.
The second session commenced by introduction of the 2nd Speaker Dr Shripad Hegde by KQHDA Chairman Dr H L Swamy. Dr Hegde shared his Observational study to validate the Homoeopathic treatment of Bell’s palsy. He briefly explained Bell’s Palsy onset, symptoms and complications followed by case study of 15 cases of Bell’s Palsy, mostly seen during the COVID period. Most of these cases responded to Aconite, Causticum, Cadmium Sulph, Nux Vomica, Gelsemium, Curare based on symptom totality.

Case 1: A lady working in hospital suddenly developed weakness and heaviness of right side of the face after exposure to cold air, unable to drink tea or coffee, responded wonderfully to Causticum 10 M BD for 3 days.

Case 2: A lady working as teacher complained of weakness of the left side of face post abscess removal in front of the left ear. She was unable to close the eyes, Hypericum 1M was prescribed based on history of injury to the nerve and improved within few days.

Case 3: Baby 3 years had weakness of left side of face, history of travel 2 days back and based on history of journey, Cadmium Sulph 200 t.i.d for 3 days with minimal improvement. She was given Cadmium Sulph 1M t.i.d for 3 days improved more than 90%.

Case 4: Case of Bell’s Palsy caused post Vestibular Schwannoma surgery where the prognosis is poor, when palliative treatment was given with remedies like Thuja, Zincum met, Causticum with minimal improvement, still on treatment.

Through these 15 case studies, Dr Hegde demonstrated the importance of Bell’s palsy and is common occurrence in the past few months. The take-away message through this presentation was BELL’S PALSY can be treated HOMOEOPATHICALLY WITHIN A SHORT SPAN OF TIME, and the case study supports it where results were seen when correct remedy as per totality were prescribed.

The webinar was concluded by vote of thanks by Dr Chiranth and was well coordinated by Dr Trupti, Dr Subha and Dr Chiranth.