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--- en:misc:questions-for-andre-saine [2014/06/20 06:04]
122.167.182.125 [Write your questions here]
+++ en:misc:questions-for-andre-saine [2015/02/07 11:50]
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 ====== Questions for André Saine ======
 {{:en:question.jpg?nolink&150 |}}
-This is the place to submit your questions to Dr. André Saine, who will pick __one__ from the list and answer it for our newsletter (issued bi-weekly, you can freely [[en:start#newsletter|subscribe here]]).
+This is the place to submit your questions to Dr. André Saine, who will pick __one__ from the list and answer it for our newsletter (issued monthly, you can freely [[en:start#newsletter|subscribe here]]).
 To improve the chances of your question being answered, make sure your question:
@@ Line 9: / Line 9: @@
 ====== Write your questions here ======
-  - Is psoriasis fully curable? Have you, in any of your cases with psoriasis, found it to have link with Obssesive Compulsive Disorder / Neurosis, mind symptom of forebodings (in the sense that one has fears which he is not able to explain -- like fear of dogs, fear of tall buildings etc.) and the stress it creates?
-  - With rising antimicrobial resistance of many bacteria, viruses etc. to allopathic drugs, is it your experience that the infections connected with these are also increasingly difficult to treat homeopathically? In other words, is there any relationship to a widespread (mis)use of antibiotics and difficulty of homeopathic treatment of acute infections?
+  - How many times should an anti-psoric remedy of the same potency be ideally repeated? Is there some advisable restrictions on the number of times that the repetition should be done?
-  - Could you comment on situations when a change of potency (rather than a change of remedy) is called for? For example, when a patient improved after a certain remedy, but is now relapsing (with the same symptoms) and a repetition of the same remedy brings aggravation and only a small healing response, is a change of potency warranted in such a situation?
+  - Do you use LM potencies for longer term treatment of chronic diseases where daily doses are necessary? For example, controlling bipolar behavior (rapid cycling, irritability) where the remedy replaces a psychiatric drug.
-  - How do you deal with failures i.e. when you do your best and yet the seemingly indicated remedy does not help the patient? How do you convince your patients to bear with you while you keep trying to find the remedy with high degree of similarity? How many maximum futile attempts did it take you to make a breakthrough in a case?
+  - In repertories we find a single remedy for some rubrics, and in case the said remedy does not respond as expected, then what is the next suggested course of action? For example, the characteristic symptom -- No sneezing when lying down either day or night but starts when up and about -- there is only one remedy for  this rubric -- Merc.	But when this single remedy does not respond as expected what should be done? Kent in  his Lectures  on  Materia Medica under Merc. has  mentioned “not to  give many doses of Merc. in psoric cases; but to look for a deeper medicine”.  What is a deeper antipsoric medicine than Merc for such? How  to resolve such cases?
-  - How many times should an anti-psoric remedy of the same potency be ideally repeated. Is there some advisable restrictions on the number of times that the repetition should be done.
 ====== Answered questions ======
+{{anchor:qas37}}
+**Q:** **Could you describe your homeopathic protocol for surgery i.e. what remedies to take before / after surgery to prevent complications, facilitate healing etc.?**
+**A:** With patients who are about to have surgery, I use a basic protocol that I learned from the American homeopathic surgeons of the 19th century. However, I adapt this basic protocol to each individual patient, greatly depending on the sensitivity and circumstances of the patient, his or her acute or chronic remedy picture and the type of surgery.
+This basic protocol consists of administering Arnica, usually in the 200 C potency, about one hour before and immediately following surgery. When possible and particularly during long surgery, Arnica (in water) can also be given during surgery. As soon as the anesthesia wears off and the patient begins to experience pain, another dose of Arnica is given. If after five minutes the pain is better, Arnica can then be repeated every 20 minutes for 5 more doses or until most of the pain is gone.
+However in the great majority of cases, the post-surgical pain is unaffected by Arnica and therefore after that five minute wait Hypericum 200 C in water is almost routinely prescribed. A dose of Hypericum is then given every 20 minutes (it can also be given as often as every 10 minutes or even every 5 minutes in rarer circumstances) for 6 doses. When the pain begins to return, usually hours later, Hypericum is repeated at the same frequency until the pain is greatly mitigated (which tends to be 2-3 doses) and this is continued in this way until the pain doesn’t return at all.
+Dr. James Gilchrist, one of these 19th century homeopathic American surgeons, had reported that in practically all operations he had used Hypericum orally (as well as locally in a soaked gauze over the incision) and it was very rare for a patient to complain of any pain. In fact, he once said that in 27 years of surgical practice once only he had used morphine to assuage pain.
+I have used this basic protocol for close to 30 years with similar success as the one reported by Gilchrist, regardless of the type of operation, e.g., in open heart, brain or joint replacement surgery, or the patient.
+Many other remedies will be indicated after surgery, depending on the type of surgery or organ affected and the patient’s state or reaction to the different surgical procedures. For instance, almost as a routine remedy, at the first sign of fever or great inflammation after surgery, Aconite can be prescribed with great expectation.
+----
+{{anchor:qas36}}
+**Q:** **How do you deal with failures i.e. when you do your best and yet the seemingly indicated remedy does not help the patient? How do you convince your patients to bear with you while you keep trying to find the remedy with high degree of similarity? How many maximum futile attempts did it take you to make a breakthrough in a case?**
+**A:** I will here assume that these patients present with conditions that are curable with homeopathy, the case is not defective, there are no factors preventing a response to dynamic remedies and the posology has been appropriate.
+The first thing I tell such patients is, as we are dealing with a law of nature and a law has no exceptions, we have to thrive together to fulfill the requirements of this law ([[en:hahnemann:organon:start#section3|paragraph 3]]) by searching for a remedy having a sufficiently high degree of similarity to produce a curative reaction.
+The fact that we have so far been unsuccessful means that key elements of the case are missing and/or symptoms have been misunderstood or not properly analyzed or the materia medica search has been unsuccessful.
+The best way to obtain the highest degree of certainty in prescribing is to obtain a complete case at the beginning. No stones should be left unturned during case taking and particularly in very serious cases.
+One of the main objectives of case taking is to obtain the totality of the symptoms, even though it is somewhat utopian, as many symptoms are not observed or reported while others have been long forgotten. In any case, we must persist in our examination of the patient until a clear image of the disease appears. Objective symptoms can be further obtained by interrogating attendants, relatives and friends and conducting a good physical examination of the patient.
+In milder cases, it may take years for the disease picture to become sufficiently developed to lead to the simillimum. Patience is here required and particular attention to any acute condition is a must, as it is one of the way to open up a defective case.
+Also it is important to understand that people respond differently to dynamic remedies. Some are hypersensitive while others are hyposensitive to these influences. These varying degrees of responsiveness are well illustrated by a [[wp>Normal_distribution|bell curve]]. Patients on the hyposensitive side of the curve tend to only respond to remedies having a very high degree of similarity, those approximating the absolute simillimum. As these patients tend to become more sensitive to homeopathic remedies during acute conditions — the more intense is the acute condition the more sensitive they become — it is often a good way to begin such recalcitrant cases.
+----
+{{anchor:qas35}}
+**Q:** **Could you comment on situations when a change of potency (rather than a change of remedy) is called for? For example, when a patient improved after a certain remedy, but is now relapsing (with the same symptoms) and a repetition of the same remedy brings aggravation and only a small healing response, is a change of potency warranted in such a situation?**
+**A:** As the responses to previous doses of the same potency of a remedy become less long and less important it will be soon the time to move upward in the scale of potencies of that remedy. Depending of the case, acute or chronic or maybe due to other factors, the next potency or a jump of several potencies can then be prescribed.
+However, if there is an aggravation followed by only a small beneficial response after the repetition of a remedy it signifies as a rule that the remedy has a too low degree of similarity and a more similar remedy should then be sought after.
+----
+{{anchor:qas34}}
+**Q:** **Is psoriasis fully curable? Have you, in any of your cases with psoriasis, found it to have link with Obssesive Compulsive Disorder / Neurosis, mind symptom of forebodings (in the sense that one has fears which he is not able to explain -- like fear of dogs, fear of tall buildings etc.) and the stress it creates?**
+**A:** Yes, I have seen psoriasis disappear completely following homeopathic treatment as it is with other autoimmune diseases. However, as psoriasis tends to be more resistant to all form of treatment, the greater the degree of similarity of the remedy to the disease of the patient the greater can we expect a favorable response. Also, recovery of health will be enhanced by attenuating or correcting any maintaining cause, such as stress or diet, during homeopathic treatment.
+I have never observed any particular link to OCD.
+----
+{{anchor:qas33}}
+**Q:** **With rising antimicrobial resistance of many bacteria, viruses etc. to allopathic drugs, is it your experience that the infections connected with these are also increasingly difficult to treat homeopathically? In other words, is there any relationship to a widespread (mis)use of antibiotics and difficulty of homeopathic treatment of acute infections?**
+**A:** It is my experience that microorganisms that are drug resistant are also more resistant for our immune system to deal with. Therefore, it could take a bit longer to cure patients infected with such microorganisms but it is not clinically significant. I have never seen a patient with a life-threatening infection not respond to the simillimum, regardless of the microorganism.
+I have not observed any greater difficulty dealing with patients with acute infections, e.g. pneumonia, than when I began practice over 35 years ago. In fact, I have never observed any difficulty dealing with patients with any serious acute infections. I can’t conceive patients dying from acute infectious diseases while having at their bedside a physician who practices genuine homeopathy and God knows that I have seen some of the worse cases with infectious diseases.
+----
 {{anchor:qas32}}
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 However, when I want to study the genius of remedy, it is usually sufficient just to review its monograph in our Materia Medica Pura Project (MMPP). However, if the remedy has not yet been reviewed and updated in our project, I go to the primary MM, the ones containing the largest list of proving and clinical symptoms, principally, Hahnemann’s //Materia Medica Pura// and //Chronic Diseases//, Allen’s //Encyclopedia// and Hughes’ //Cyclopedia//, and also Hering’s //Guiding Symptoms//.
- I constantly use a repertory in practice, which is Zandvoort’s //Complete Repertory// 4.5 to which the MMPP has added close to 50,000 additions in the later years. In its revision of the MM, the MMPP constantly upgrades the repertory. We were adding about 5,000 additions a year in earlier years. This last year, with increased contribution from colleagues, we were able to make 10,000 additions, and we are expecting to add between 10,000-20,000 additions every year to the repertory in the coming years..
+ I constantly use a repertory in practice, which is Zandvoort’s //Complete Repertory// 4.5 to which the MMPP has [[en:resources:additions-repertory-saine|added close to 50,000 additions]] in the later years. In its revision of the MM, the MMPP constantly upgrades the repertory. We were adding about 5,000 additions a year in earlier years. This last year, with increased contribution from colleagues, we were able to make 10,000 additions, and we are expecting to add between 10,000-20,000 additions every year to the repertory in the coming years..
 ----

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