Table 1.
Case follow-up.
| Date | Weight (kg) | Follow-up | Prescription | Rationale for prescription |
|---|---|---|---|---|
| 24/08/2016 | NA | First follow-up homeopathic consultation: All the climacteric symptoms are better completely; has developed increased vaginal discharge after 2 wk of starting the treatment and has taken antibiotics. Generally feeling very well | Sepia succus 21CH—to be taken every 3rd d for 2 mo | The patient was better, but she had a bacterial infection and had taken antibiotics, indicating need for further stimulation with the remedy. Therefore, the potency was raised and repeated |
| Early November 2016 | NA | Gynecological consultation: Pelvic inflammatory disease has exacerbated | Antibacterial therapy, anti-inflammatory therapy | |
| Clinical examination: External genitalia are formed properly, with female pattern of hair distribution. Speculum examination: uterine cervix is cylindrical, vaults are shortened, copious purulent discharge. When palpated uterine stump and uterine adnexa area are painless but enlarged. When sacral spine and vaults are palpated the patient feels severe pain | Azithromycin 0.5 mg once a day for 5 d and Diclofenac 200 mg suppositories | |||
| 16/11/2016 | 75 | Homeopathic consultation: No climacteric symptoms; headache has reduced; during the relapse of the vaginitis she had fever of 37.5°C. She has taken antibiotics and anti-inflammatory drugs. Patient reports that her relationship with the husband is better and she doesn’t quarrel so much anymore | Sepia succus 30CH once in 10 d | Again, the relapse of infection and use of antibiotics demands further stimulation with remedy. Therefore, the potency was raised and repeated. However, this is an excellent development as she is now able to raise a fever |
| 15/02/2017 | 73.5 | Homeopathic consultation: Status quo—no further improvement seen | Sepia succus 200CH 1 dose | When we see good reaction to a remedy but the changes halt, we must first raise the potency before changing the remedy |
| 17/05/2017 | 71.5 | Homeopathic consultation: No headaches or climacteric symptoms; Patient developed vaginitis 2 wk after the last prescription, with fever of 38.5°C but didn’t take any drugs for this condition and it subsided on its own. Patient at this point revealed that her husband had suffered gonorrhea twice in the past | Medorrhinum 200 CH 1 dose | Here, we see that patient has become better in her mental/emotional situation, but her vaginal infections keep relapsing, indicating a layer of infection that hasn’t cleared. The history revealed gonorrhea, and the symptoms also clearly indicated, medorrhinum |
| She had symptoms indicating medorrhinum now (Figure 2 Repertorisation on 17/05/2017) | ||||
| 2/2/2018 | 69 | Gynecological consultation: | Nil | |
| Clinical examination: External genitalia are formed properly, with female pattern of hair distribution. Speculum examination: uterine cervix is cylindrical, vaults are shortened, scanty mucoid discharges. When palpated uterine stump and uterine adnexa area are painless, a bit enlarged, marked pelvic adhesions. When sacral spine and vaults are palpated the patient does not feel pain | ||||
| Ultrasound scan abdomen and pelvis: Uterine stump is visualized, signs of adhesive process in small pelvis | ||||
| No pathology detected | ||||
| Laboratory diagnosis: | ||||
| Blood sugar—3.9 mmol/l | ||||
| Lipid profile | ||||
| Total cholesterol 4.67 mmol/l | ||||
| HDL 1.34 mmol/l | ||||
| LDL 3.21 mmol/l | ||||
| VLDL 0.79 mmol/l | ||||
| Triglycerides 1.13 mmol/l | ||||
| Atherogenicity index—5.9 | ||||
| TSH—3.8 µIU/ml | ||||
| Vaginal smear cytology: Cytology: no signs of atypical process in the cells | ||||
| WBC—2-4 per field of view, no yeast cells, gram-negative flora is of moderate quantity. No gonococci and trichomonas | ||||
| 06/03/2019 | Homeopathic consultation: Patient is under difficult circumstances with her husband having cancer, but she is managing very well without any issues. She feels very calm inside and therefore despite the turbulent situation is able to keep herself well. She has no complaints gynecological or otherwise now | Nil | Patient has been stable and is able to handle her situation. No need to disturb this state | |
| 24/08/2019 | 66 | Gynecological consultation: | ||
| Laboratory investigations: | ||||
| Blood sugar—3.9 mmol/l | ||||
| Lipid profile | ||||
| Total cholesterol 4.07 mmol/l | ||||
| HDL 1.81 mmol/l; LDL 2.94 mmol/l; VLDL 0.82 mmol/l | ||||
| Triglycerides 1.24 mmol/l | ||||
| Atherogenic coefficient—1.2 | ||||
| TSH—3.1 µIU/ml | ||||
| Vaginal smear cytology: no signs of an atypical process in the cells | ||||
| WBC—3-4 in the field of view, no yeast cells were found, the gram-negative flora in moderation. Gonococcus and trichomonas were not found | ||||
| 05/03/2020 | 63 | Ultrasound scan: In the conclusion of the ultrasound, the doctor writes that everything is normal. The homeopath called the doctor and asked about the report from 2016, where, lipomatosis of internal organs in the conclusion—The radiologist said that presently there was no lipomatosis and there were some age-related changes only | ||
| Laboratory investigations: TSH—1.43 mU |
(Normal reference values: Blood sugar—4.1-5.9 mmol/l; Lipid profile; Total cholesterol—3.10-5.16 mmol/l; High Density Lipids (HDL)—1.0-2.07 mmol/l; Low Density Lipids (LDL)—N 1.71-3.40 mmol/l; Very Low Density Lipids (VLDL)—0.26-1.04 mmol/l; Triglycerides—0.45-1.60 mmol / l; Atherogenic coefficient—1.5-3; Thyroid Stimulating Hormone (TSH)—0.4-4 µIU/ml.).