3

Name: MJS D. N: 02/19/39 - born in Campos - R. J. Profession: Retired teacher First consultation - 04/29/99 What brought you here? HP problem. I had a high pressure crisis during a work we do at the schools along the Carnival. I have constant headache. I had migraines a few years ago, got better, but now i'm returning to have headaches. When i'm going to check my pressure out, its high. My head hurts at several parts and it also becomes painful even in my neck as if i were with a stiff neck. I have a lot of tension in shoulders and back (a person who works with massaging have already asked me with i'm carrying the world on my back). Along with the headache i fell depression, heat, cold, puke nausea, sometimes even bilis come out. In one of this crisis i felt a lot of cramps. I have a lot of worries but the crisis happens independently from this. This time, for example, i was at the Biennial, i did not have any worrys. My worrys are related to my sons behaviour: its not that i'm moralist, but there are things that do affect me, for example, my daughter or my daughter-in-law goes away from home and break family values. To damage, hurt others, its difficult to accept my sons doing this thing. I have a biggest pain in my left iliac joint. I have pain in my chest, on this region (sternum superior). I have stomack burn. I have a lot of difficulty to concentrate, to organize myself. I fell very anxious. I realized myself this way when i was going to make a travel. Got myself awakened at dawning with that worrying, but i was fighting against it. Sometimes, i wanna deprive myself of doing something. . . I have a lot of activities and sometimes we cant handle everything. - How you realize you're anxious? Sometimes a person is talking to me and i hit the person (talking) before she ends up her speeching. I dont like that in me. I like hearing others a lot. . . . Sometimes it (the depression) wants to come back but we react against it. - How did this depression begin? It began with a big deception. I was hoping for a thing and other one hapenned. Didnt know it was a disease. . . I harmed my sons a lot. . . their education. . . Then came the result of it. I had a lot of difficulties with myself and used to charge a lot from my sons. Presently this failure in my sons education causes me a lot of difficulties. My parents had old principles but they were a loving a lot. I received this values but was not able to pass it on to my sons. I demanded and used to charge them a lot and that did a lot of bad. It work to the contrary effect. We only claim, dont give anything anymore. - How was this deception? What were you expecting but did not happen? My husband had a Pharmacy. Got sick and spent 3 years in the hospital. I used to dedicate myself to him a lot. He had a quimical dependence. . . I'm losing myself on concentration. . . He had a lung problem and there were no way for him. We had a solid financial situation and when the Dr. gave him over, i told the Dr. i was going to fight to buy my husbands medications. I got the medications. He came back to home and we began to make plans. We had 3 sons more. I had hopes to go back to work with him and we reopened the Pharmacy. I fought a lot for this. When he came back to work i felt left but i thought we were going to work together. I was not accepting this and the terrible depression began. I got lost because he used to take care of his sons before. It's like the house was falling apart. That avalanche got myself covered over me. But with faith and my work, i managed to stand up. -How did you fell left? As a person that was used, betrayed. Its a persons own thing. We dream, we make Cinderella castles. . . What happened, i dont have to blame anyone. . . A image was created for me with no basis in the reality. When we give ourselves freely, the other one is not to blame. Understand this allows me to get free from a negative felling related to my husband. He passed away in 85. We love and give ourselves, because it does not satisfy us. But we cannot demand from the other one what he cannot give. I say to people that likes me a lot: -Dont see me like i'm a perfect person because i can give you deception. Sometimes a person is too near to us. . . Everybody that had a problem, i thought it was mine: absorved, kept trying to help the person. -Talk more about you. . . I love life: my friends, my land, my country. I have a lot of love for anything and for everybody. . . Not enough to change the world. . . to change me, a lot, to help others and sometimes it even damage. -How does it damage? I had a son who was a gambling addict and i was not able to understand that he were an adult and had to assume that. My daughter has a need to buy. That's why i did not know how to educate her. Then i end up helping. I do that because i get distressed. It is part of my anxiety. I dont have a iniative power but my daughter has it. She asks to buy something in my credit card. She lies and i dont have force to give a no as an answer. . . i have this difficulty to say no. -What do you think would happen if you said no? The better possible for her. But i fell obliged to attend her. I have difficulty to take decisions and i get a lot of critics because of this, by my brother that uses to charge me. My life would be alot better if i could take decisions because it would not give space for this thing to happen. If there is a thing to fix, i get postponing. I get thinking and dont manage to do it. i keep accepting other interferences. The problem is mine. My sons caused me a lot of deceptions, but it was because the education i gave to them. But i dont blame myself because it was for not wanting but for not managing. I know i gave the best of me. I came because i want to take care of my health to be able to work until the last day i'm here. -Why work is so important? I get satisfied with the work, it is so good to me. I fell useful. Its not for money. Its for a spiritual realization of being able to be useful in the little i know to do. I have this anxiety to fulfil, even when i'm sick. -How is this anxiety? Moments of a lot of impulsion. Gives a need to run to other place. In other moment, i get stuck because of this indecision of mine that obstructs me from doing what i would like to do. For example, a book, its difficult for me to get to the end of it. I'm reading a book, i see other one that shows a good reading. . . i get mixed up and this prejudices me. -How is your appetite? My appetite is normal. I dont have knowledge to know if my nourishment is the proper one. If my stomack is satisfied, i dont eat. I like oranges, sapodilla, a sweety grape, pears. Meat makes me sick. I forget to drink water. I dont drink even a liter a day. -How is your sweating? I was having a time with sweating inmy feet but now its better. In the hot, i swear a lot. Its a heat out of the normal. The sweat is very intense on the upper part of the body ( points the breast to above). I have bad breath. A reek in the armpits, in the vagina. The sweat from my feet also had a reek. I dont like heat. It gets me sick. -How does your intestine functions? The intestine functions everyday but with a certain difficulty. When i travel, it gets more stuck. To function normally (with no difficulty, no effort), i have to eat papaya, orange or take some medicine. -How is your sleep? Sleep have been short lately. I wake up before 6am and i go to sleep very late: the earlier i sleep is midnight. I think its because my reading habit. I would like to sleep more, but i cant. Then i go to read or watch some program in the bedroom. After lunch, i fell a need to go lay a little, but now if i lay, i dont sleep. - And the dreams? Dreams: lately i have been having more difficulties to dream or to remember the dreams. Nightmare: I'm on a place that is broken, fallen apart. I'm on a bridge that is all rotten and a movement that i make, she starts to crumble and fall. I feel that like it was reality. I start remembering God and i see it's only a dream. I dream about nature, about kids. -Are you afraid of something? Afraid? I almost don't know this word. I already had a terrible fear: i went downstairs to check a work out, but when i was going downstairs, i couldnt make it. I kept holding myself on the iron not to fall. But i worked it out and managed to go downstairs. When i was a child, i climbed a mango tree and was not able to descend, afraid of it. When we're going to make a plan, that thing is caught: will it work? When i traveled by plane i saw the oxygen mask, i focused on lack of air and got a little afraid, but i worked it out, and everything went nice. H.P.P.: H. P. P: Chicken pox, measles on the cesarian infancy of the youngest son. Depression on 30 something years of old. PA alteration for about 8 years. A.P.: 140 x 90 mm Hg. Solicited: Thorax XR Gram lippitude Ergometric text CASE ANALYSIS Themes: Indecision Impotency Heights (dream/fear) Exaggeratedly consenting Resignated Servile Heat Religiosity Blame Absence of thirst Repertorized symptoms: Mind - condescendent - disposition Mind - ilusion that made something - wrong Dreams - falling - height + Mind - fear - height places + fear - low, of movement to + Vertigo - heights, places General. - Foods and drinks: meat, it gets worse with Appeared medicaments on the repertory: Ars, Lyc, Puls, Sil, Sulph Prognostic observation: Functional patient, an improvement is waited with no aggravating. Understanding obtained by the Miasmic Dynamic Analisys: How suffers? How reacts? Predominating psoric patient. Suffers when she speaks: We love and give ourselves, because it does not satisfy. . . A image was created by me without a base on reality. When we give ourselves freely, the other one is not to blame. Dream: I'm on a place that is broken, falling apart. I'm on a bridge that is all rotten and a movement i make, i start to fall apart. I feel that like it were reality. I start remembering God and see its only a dream. Talks about her love that is not enough to change the world, to fix. This would be her first reactive aim to the egotrophy. Her first egotrophic reaction is on the sense of helping the sons and other people. In the egolise, she gets depressed. The understanding hyphotesis of her suffering is based on the lack of retribution of this love which is passed to other ones. Prescribed: Pulsatilla 1MFC - 01 pp Pulsatilla 1MFC - 0,12gr - 2 by morning and 2 by night. First Return - 06/17/99 The medicine had a real good effect. I had a big improvement. I got better from 60% to 70%. Only the memory did not have the same efficiency. I had real intense headaches. HP also got better. The cramps got really better. My sleep. I wake up and dont sleep no more. I did not have this difficulty, i used to sleep even in transports, easily. . . Feel better from the stomack burns and the drying throat. The liver problem i had, as it was being doubled or tightened, and then came that water in the mouth sense, got real better. This was not frequent but it bothered. I had a pain in my head like i had been taken a little hit in it. . . The pain here (iliac sacrum) improved a lot. Now its very difficult to happen. The memory didn 't got better and its fundamental for me, because sometimes i'm going to say something and i forget what it was, message. . . I dont know if its part of a sclerosis or if its hereditary. . . I forget what i'm going to say. Have difficulty in organizing the sentences, the thoughts, of bringing them out. I have a forgetting problem since infancy, with age, it got worse. I'm going to get something someplace, i forget. I open the fridge, dont know any more what i was going to get. Always when i get to the Church's priest, i ask for a remedy to memory. Dont know if its mind slowness. Should there be other things i forget, but do not remember now. The head pains were in the top of it. Before, it were migraines and now they were not so intense. Before, i had them more than 10 days directly, it didnt get better with medications (i think it was HP related). The frequency improved more than 50 % and with a ½ Tylenol tablet, it gets better. On this period, i just took Tylenol three times. When i'm going to comb my hair, i realize like it had a hurt or a little hit in just one single place. Its not fixed in one spot, it modifies, changes. My eyes get swelled and puffed up and i get pallid. I think it can be a digestive or kidneys problem. Aside from this, i only had a rapture of little vessels one or two times. I have not been measuring my HP and on the day of the headache, my son measured it and it was ok. It was 140*80 mmHg. On this period, i did not take any other medicine. The pain in my chest, i didnt even remember of it anymore. I think the major part of the improvement was from anxiety. I'm more calm, more confidenting. . . When i came here, i already had this sleeping problem. This already has about one year. Maybe thats because i keep watching some programs at night and ends up not sleeping well. Because of my anxiety, i wake up and dont sleep anymore. This got a little better. The appetite have been good, with no alterations on this period. I had a strong flu but i took some honey with lemon and got better of it. Know that a lot of people got hit by this flu, not me. The heat, i even forgot about it. I think it did not happen. The sweating improved a lot. I almost didnt notice it. I had a dream: i was scaling a stone-pit and putting some hooks with na alpinist. I was having great difficulty in this scaling, it was a descent, but i ended up being happy because it did not have a bigger consequence. It was not so frightening like the other times. When i read, i keep accompanying the text, and turned myself off for everything, i have great difficulty to find the place where i stopped to go on. I have this capacity to find very affectec, what makes me suffer a lot. It's a big memory difficulty. I always read a lot. I dont know if it has been damaging my mind. I like reading a lot. It's a great attraction for me, to read. I dont if that's why i did not have opportunity to study whan i was a child. I have a kind of an addiction to read. Reading bring me a lot of good things. My religion is very rich of literature: i read the basic works from my religion, romances, i like to get informed about good things. I dont like to read things that gets to my emotional part: violence, wars, things we cannot cooperate to get better. The situation at home with my sons have been getting better. It depends on us to understand that thoughts are different. I was raised with love and rigidity. It is not that cold rigidity, distant. . . I have difficulties but i have been doing anything to accept it. - On the last consultation you mentioned that there was a time you felt afraid to climb a stair. . . What did you feel afraid of? I was not going to be able to go downstairs without anything happening. I felt abandoned. In the nightmare, on the fragile boards, i also felt abandoned. I think i made this unconscious relation. When the headache appears, i wait to see if it passes. If it doenst pass, i take the tablet. Just one time in these times, that i had the headache at night, i thought it was because i carried heavy bags in the day. But in these days i carried weight again and i did not have a pain in my head. By late afternoon, sometimes i fell a little of melancholy. Now i'm much better already. In this period i almost didnt have it. - What other things you forget (beyond what you're going to say)? I forget numbers, people names, that even causes me constraint. . . But in a general way, writing flows well. H. A: 160*110 mm Hg Results from exams made on May, 5, 1999: Cholesterol - 281 mg/d1 Triglycerides - 229 mg/d1 Lipids Totality - 918 mg/d1 HDL: 37 mg/d1 LDL: 198 mg/d1 Phospholipids: 377 mg/d1 Lipoproteins Electrophoresis: Alpha: 29,2 % Pre-Beta: 22,6 % Beta: 48,2 Micron meter 0,0 % X-ray from the Thorax (14/05) -Discreet lesions with fibrous nodule aspect on the superior third part of the left lung. -Lack of inflamatory infiltrated. -Free costo phrenic breasts. -Cardiac area on normal limits. -Discreet aorta prolongation. ECG - Before the ergometric test: compatible with normality. -After ergometric test: with no significant alterations comparing to base ECG. Lack of disturbing conductions. Ergometric test suspended on the third stage in the second minute due to physical exhaustion. Lack of arrhythmia during the effort stage. Conclusion: Anormal ergometric test due to Arterial vessel-reactive Hipertension. Prescribed: Pulsatilla 10 MFC - 01 pp Pulsatilla 10 MFC - 0,12 gr - globules. Dr. Erasto Luiz de Souza Back