case - 2

                 24 year old unmarried female

C/o :-

• Occasional cramps in small muscles , specially of arms and hands since 2 years.

• No history of any injury or trauma.

• Aggravates at night, feels better by walking in open air.

• Can not sleep without listening songs ( romantic and or inspirational ) Even though it aggravates!

• Desire for cold water, salty food, wafers.

• Emotionally very sentimental, tries to make everyone happy, feels dejected later on! Can not tolerate contradiction.

Does these details are enough to initiate treatment?

• If NO, what should be further questions / investigations? 
• If YES, what should be further management?

please, give your expert opinions through comment(s)...

case - 1

                          26 year old male

C/o :- 

• hemetemesis, 2 episodes on the same day.
• Distension of abdomen since 7 days with generalised pain.
• Black coloured stool since 2 days.
• No fever / chills.
• No pedal oedema.
• No dyspnoea.
• No other complain.

• Pt. is chronic alcoholic, seems like in delirious state because of withdrawal effect of alcohol as he is not able to consume alcohol since 4-5 days.
• wants to get well soon and go home.
• Thirsty.
• kicks off his cloths and tries to run away from bed.

On investigation :-

• Abdominal and pelvic ultrasound shows hepatomegaly with fatty changes, with early changes of cirrhosis.

• Spleenomegaly.

• mild ascites.

• Liver function test shows,

• S.Bilirubin -

• Total     - 6.31 mg/dL 
• Direct    - 2.72 mg/dL
• Indirect - 3.59 mg/dL

• SGPT (ALT) :- 22 U/L 

•  SGOT (AST) :- 290 U/L 

•  S.ALP            :- 288 U/L 

•  S.protein        :- 

• Total protein                     :- 7.4 gm/dL 

• Albumin                            :- 3.4 gm/dL 

•  Globulin                            :- 4 gm/dL 

•  Albumin-Globulin Ratio :- 0.57

• Haemostasis profile shows, 

• Prothrombin time :- 17.5 sec 

•  INR                        :- 1.2 

•  PT Control            :- 14.7 sec 

•  ISI                                        :- 1.10

• APTT 

•  patient's value :- 33.1 sec 

•  control              :- 30.0 sec

• Biochemistry report shows,

• Anions 

•  S.Sodium      :- 134 mEq/L 

•  S.Potassium :- 4.6 mEq/L 

•  S.Creatinine :- 1.2 mg/dL

• Complete blood count shows,

• Haemoglobin          :- 8.9 gm/dL 

•  Total WBC Count :- 8500 / micro litre 

•  Neutrophils            :- 74% 

•  Oeosenophils          :- 03% 

•  Basophils                :- 00% 

•  Lymphocytes          :- 20% 

•  Monocytes               :- 03% 

• RBC Count               :- 2.67 millions / micro litre 

•  Hematocrit (PCV)   :- 25.8 % 

•  MCV            :- 96.4 fl 

•  MCH           :- 33.4 pg 

•  MCHC        :- 34.7 gm / dL 

•  RDW - CV  :- 17.1 %

•  Platelet count                   :- 52000 / micro litre 

•  Mean platelet volume      :- 8.4 fl 

•  PCT                                   :- 0.04 % 

•  PDW                                  :- 13.6 10

• Biochemistry Report shows,

• Anions :- 

•  S.sodium         :-134 mEq/L 

•  S.potassium    :- 4.6 mEq/L 

•  S.creatinin      :- 12 mg / dL

• Urine analysis shows,

• Amount               :- 10 ml 

• Colour                 :- Deep yellow 

• Appearance        :- Turbid 

• Reaction              :- 6.0 

• Specific gravity   :- 1.020

•  Chemical examination :-

• Albumin           :- 2 % 

•  Glucose            :- Nil 

•  Urobilinogen   :- Normal 

•  Bilirubin          :- 1 + 

•  Ketone              :- Absent 

•  Blood                :- Absent

• Microscopic examination shows,

• Pus cells              :- 10-12 / HPF 

•  RBCs                  :- 35-40 / HPF 

•  Epithelial cells   :- 1-2 / HPF 

•  Casts                   :- Absent 

•  Crystals              :- Absent 

•  Bacteria              :- Absent 

•  Trichomonas      :- Absent

Does these details are enough to initiate treatment?

• If NO, what should be further questions / investigations? 
• If YES, what should be further management?

please, give your expert opinions through comment(s)...

Disclaimer

Since long time many of my friends and colleagues are asking me that, "once you were talking all about IDEAL CURE, and now you have changed your tagline to "Searching for all about IDEAL CURE" Does it mean that your IDEAL CURE is left behind somewhere!???

I must say, oh yes it is!!

Initially, while studying homoeopathy theoretically, it seems that only homoeopathy is having that IDEAL CURE.

And even Why should I doubt where master Hahnemann clearly stated everything, whatsoever a genuine physician needs to know in regards to ascertain IDEAL CURE.

But now, at the time of its practical implementation, I am wondering for how to implement that precious words in this era!?

Here, no ways, I am not doubting work of master Hahnemann, nor I am doubting power of homoeopathy.

Obviously, homoeopathy is having a straight way towards IDEAL CURE but does really all homoeopaths are  able to walk on that straight way?

Whose fault it is when a patient gets disappointment from homoeopath?

Okay, let we assume, it is failure of homoeopathy, so, Let me ask, what is the way of success? where is that IDEAL CURE?

I really don't mind anywhere it is, I just need it. For me and I believe, for all the genuine physicians, patient is more important, hence, It doesn't matter either it is homoeopathy, allopathy, Ayurveda, yunani, siddha or anything else, what each and every genuine physician seeks is all about CURE, an IDEAL CURE. and exactly that's what here, we are searching for.

Will you dare to help us to find it out??

A huge number of students are already working for it who will bring  various different cases for us, which will be published here for open discussions from this dasherah onwards.

Each case will be kept open for the purpose of genuine discussions for one week, where we will talk about the details we able to perceive in the case, the details we could not get hence are in doubt and all the possible way of management with all the possibly known reasons.

after that much of discussion, next week, one new case will be posted for the same purpose. And this chain of circle we expect to repeat with all of your support.

Here, no ways I am not claiming that there will be perfection in our work, but as such nothing is perfect! After all efforts are more important then perfection! And ultimately that is the reason we are going to meet here, to learn about getting perfection.

With all of you, I am eger to start our journey towards cure, will wait for you.

Thank you.