This is a case sent in by Sanket Taldevkar - for which many thanks. It concerns a patient with Alzheimer’s disease. Obviously, this disease is now running, out of control, at epidemic levels, and perhaps homeopathy does not see, or treat, as many people with this awful disease as it should. After all, most people with Alzheimer's don't seek treatment for themselves; and too often it is dismissed as being a 'disease of old age', for which nothing can be done. This case suggests otherwise.
Name: XYZ. Age: 59/ Female
Patient was brought to clinic by relatives; pt was very quiet, no eye to eye contact constantly looking down with no expression on her face
Information from her son : pt is not able to remember anything since last two years, she does not recollects the last event, always sits quietly, don’t like to mix with people, don’t like to talk with any one. One must ask several times to her for simple thing then after some time she hardly gives any response, does not ask anything for her own, she didn’t ask for food or water to any one since last three months, since last two months she doesn’t realize that she passed urine or stool.
1] 5 year back there was pain and swelling in her right knee aspiration was done and some steroidal preparations was injected in knee
2] After one year she was diagnosed as HYPERTENSIVE patient [still on anti-hypertensive medicine]
3] Since one year she develops ALZHEIMER’S symptoms
Clinical examination to test grade of Alzheimer was done
1] Identification of objects: pen / pencil / paper was given but she didn’t identify any object
2] Asking to repeat: no response
3] Recalling same objects: no response
4] Sentence writing: no response
5] Copy design: no response
[Note: we ask each question at least five time]
Brain CT: mild atrophy frontal lobe with tiny degenerated areas
Case taking: [as pt is not talking to any one since one year we try to get this case on observation and history given by the relatives]
Observation: on asking questions she didn’t answer very quickly, I have to ask question several time and she hardly gave any answer, no eye to eye contact and no expression on her face,
Question we asked: What is your name?
What is your problem?
What you like?
What you don’t like? And so on, but her answer was “NOTHING’’ only one word NOTHING
Rubrics taken from complete rep.
1] MIND: MEMORY WEAKNESS, LOSS OF EXPRESSING ONE
2] MIND: DULLNESS, UNDERSTAND QUESTION ONLY AFTER REPETATION
3] MIND: ANSWER MONOSYLABIC
4] MIND: ANSWER MONOSYLABIC, NO TO ALL QUESTIONS
5] FACE: EXPRESSION VACANT
KALI-BROM -30 one dose was given
F/O : AFTER 15 DAYS no change
F/O : AFTER 15 DAYS no change
PRESCRIPTION: KALI-BROM-30 ONE DOSE REPEAT
After two days relatives brought her to clinic saying she having watery stool, and fever since one day, swelling on her face blood pressure 140/110 HIGHER THAN HER NORMAL WHICH IS 130 /100
F/O: AFTER 15 DAYS: swelling reduced, no fever, no watery stool, blood pressure 130/90 she got control over her urine and stool, this time she looking up eye to eye contact was there
Identification of objects pen/pencil/ paper she identifies paper and got confused with pen and pencil
Repetition same she identify paper
Recalling objects same objects: poor response
Sentence writing: poor response but she tried
Copy design: poor response but she tried
PRESCRIPTION : SL
F/O: AFTER SEVEN DAYS: relatives said she was weeping since 3days on asking why she is weeping her son said sister in law said some bad about her, [note : this is first time she is weeping after one year, she started reacting to surrounding, weeping is a kind of emotional reaction, it indicates pt is responding to others physical as well as emotional level]
Total control over urine and stool
She now recalls name of her family member it takes time but she started recalling
Dullness and slow ness is there in her activity
F/O : AFTER ONE MONTH : she started asking for things which she want, though it is slight difficult for her to recollect the name of any objects she want
Appetite : slight increase
F/O AFTER ONE MONTH: now she is talking with family member and others, this time she said I am having pain in my right knee [ first time she express her discomfort , it means she can sense her body and express it , it means she started to feel herself as an individual which is most important sign of life ]
On examination : swelling on right knee
Blood pressure 130/90
F/O AFTER TWO DAYS: swelling reduced, all vitals are in normal range
Still on homeopathic medicine.