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--- en:misc:questions-for-andre-saine [2014/10/26 17:51]
legatum
+++ en:misc:questions-for-andre-saine [2015/01/27 16:13]
86.30.207.87 Having recently watched the video by Vithoulkas about Dr. Benveniste's experiment, I wondered what justification there was for including remedies such as Iodium in the Repertory. What would anyone want to 'antidote' Iodine? Perhaps some homoeopaths in pas
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 ====== Questions for André Saine ======
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-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:
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 ====== Write your questions here ======
-  - 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?
-  - 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.
+  - 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?
-  - Do you use LM potencies for longer term treatment of chronic diseases where daily doses are necessary?
+  - 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.
-For example, controlling bipolar behavior (rapid cycling, irritability) where the remedy replaces a psychiatric drug.
+  - Could you describe your homeopathic protocol for surgery i.e. what remedies to take before / after surgery to prevent complications, facilitate healing etc.?
+  - 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?
 ====== Answered questions ======
+{{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.
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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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Legatum Homeopathicum

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