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Case Study

I thought she will die in my hands!
NATIONAL JOURNAL OF HOMOEOPATHY 2002 Sep / Oct VOL 4 NO 5.
Dr Anil T Hilgire
'Nat-m

Since the opening of my new Homoeopathic Clinic on 23, May 02, I had only 4 patients, quite a comedown from 200 patients available to us daily at ICR’s Palghar Hospital, where I worked as a PG student for 2 years. Quite naturally, I was feeling bored!

Suddenly I heard voices. When I opened the door, 3 persons came in carrying a small 8 year-old unconscious girl in arms. The father started crying and pleading "please doctor save my child". I calmed him and asked the whole history-. The history left me in dilemma - - - could I take the case where I don’t know what the exact diagnosis, whether I can treat this case? Lastly patient’s father said "I have no where else to go" These words struck me; I promised to do my best.

Then I took the whole history:

Patient had high grade fever since 20 days; the GP gave some tablets and injections; pt was better for 1-2 days, again fever came on; they didn’t bother. After 5-6 days, patient started vomiting, would be giddy with high grade fever. They took her to some temple. On the 10th day, she started convulsions. This frightened them and they took her to the Primary Health Centre (PHC), where a very famous physician (MD) examined her and carried out investigations: Widal was strongly positive. Patient was in delirious state, felt homesick and his probable diagnosis was "Enteric Encephalopathy". He started allopathic treatment for the same, she was there for 3-4 days, still not responding to any line of treatment. The frequency of convulsions kept increasing ie 1/10-15 minutes. Then physician referred them to higher centre for further management.

They took to an MD (Paediatrician), he finally accepted the case. With his line of treatment too, patient’s condition worsened. He ordered an LP which established diagnosis as Tubercular Meningitis.

He changed his line of treatment, to no use. Since last two days patient was in semi-comatose state, not having food, passing urine or stool since 2 days. Patient’s father was getting upset and angry; he had spent 15-20,000 Rupees but still patient’s condition continued to worsen and now she is in coma, he scolded the doctor. ‘What are you doing with my girl, why is she not recovering?’ Finally the doctor referred them to a big Institute. There the doctor told them they need minimum 20,000 Rupees, but we can’t say about her future. As the patient’s father was very poor, he was totally, helpless he was not getting anything, and so what to do? At last he took her home in that comatose condition, feeling that now she is dead. As he was from my town, when my Grandfather saw that girl they told him to take her to me, as I can try on her, so he came to me with much hope, but I was in a puzzle as I never saw such a case during my training period. I couldn’t know the role of Homoeopathy in this case and these people came to me with much hope as I was in Mumbai for 2-3 years and now I am a big doctor. I explained them that I am just trying my best. I took the written consent of 3 persons.

After asking about her nature and other physical generals, her constitutional Remedy seemed to be Nat-mur (D/D Silicea). Suddenly I remembered the words of Dr C B Jain: At Palghar myself and Dr Dilip Nandha from Gujarat, were taking a case of Pulmonay Koch’s. I decided on Silicea but Sir explained how Silicea could not be given in a Koch’s case as it will fibrose the Koch’s lesion. So considering the underlying pathology and the structural changes I started her on Nat-mur 30 single dose on the first night. She was under my observation for 8-10 hours, but still no change. I came down to my cabin and told them I am taking rest, if need call me. After 2-3 hours, the patient’s father came shouting: "Sir, Sir, my girl has opened her eyes". He was very happy. I could not believe it. I went upstairs and asked the patient to open her eyes and suddenly patient opened her eyed and looked at me. I was very happy to see her and I was relaxed as patient’s relative was telling me that (sentence in Marathi). I observed her the whole day but no further improvement. Then I repeated a dose of Nat mur-30 on next night. We observed no further improvement, I was not getting anything, I felt that her constitutional Rx was correct as she had some amount of improvement but nothing more; that meant that there should be some miasmatic block. I asked her about her family history. Father was diabetic, patient and Grandmother had Koch’s and taking these into account as fundamental miasm is Tubercular and dominant miasm also was Tubercular, I gave her a dose of Tub-bov 1M on next night. It was a miracle, the patient woke up early morning and was completely conscious and when I saw her, my happiness knew no bounds. I repeated the dose of Nat-mur 30 on next night. She was improving but next day we found that her left side, Lt side of face, Lt hand and Lt leg, were not working completely. I took an opinion and the consultant MD-Physician, diagnosed as TBM with Lt hemiplegia.

I was confused as to how to make a difference to my constitutional drug. I neglected everything else and just observed her. She continued to improve day by day and on 5th day patient was talking some words, pointing towards her mother and father and after 7-8 days she was trying to walk but couldn’t, but now she can walk without any support. I was very relaxed and had proper food only after 5-6 days with a sense of happiness and encouragement. Homoeopathy proved that it can work in any situation if we have patience and courage

(Editor: And with, most importantly support of parents. Here, since there was no other go, they were willing to put her in hands of Homoeopathy. As I often say: Jaha koi cause nahi, Homoeopathy ko de do. Jaha koi illage nahi, Homoeopathy ko bhej do. Where there is so no go, send to the Homoeopath."

To get such serious cases, can only happen in the Rural area or with the poor in slums or pro-homoeopathic area. In the city they will still keep her in the big hospital and keep trying. But the important thing for Dr Anil to do is to document these cases which have already been worked up. Then make a team with other specialists in the town, as once such a case improves, then there will be a flood of serious cases. It is therefore imperative to get support from all quarters. Dr Anil has sent us Photographs of this case which will be reproduced here. Dr Anil, please keep all documents of this case, earlier prescriptions etc in proper files for future reference.)

[Photos will be given in next issue]