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Reshmi Deshpande- F_53 Case of _

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Case of oligodendrogliomaage- 53 yearspatient came to us on 30/9/15
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Investigations
On19/01/12- Brain surgery done, Diagnosis-Oligodendoglioma, grade II,couldn’t remove entiretumor.Size on8/3/12(after operation)- 6.3 x 3.1 x 5.6 cmMRI(4/6/15) Size- 8.8 x 4.6 x 6.0 cm, Heterogeneous infiltrative lesion involving right high frontal lobe with involvement of superior and middle frontal gyrus with involvement of medial frontalparafalcinecortex and extending inferiorly to the body of corpus callosumMild shift ofFalxto the left with mass effect on the body of lateral ventricles, more so on right side with no hydrocephalus.
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SYMPTOMS OF CONVULSIONS
Aura- vertex of head- head - back - left hand -left leg- toes-Left toe movement difficultNeed to clench on to something esp. left hand else will fall down.After convulsions- left leg limps & feels weak.AGGRAVATING FACTOR-Stress, Lack of sleep, crowded places like lift.Coldness of one side.
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She is takinglevipil,laposomide,Fresiumfor convulsions.Levipilis making her stupid.Starting with my childhood-There were lot of disputes between the parents that affected her a lot. she was torn between the two of them , she loved both.CLIP 1Her experience in childhoodwas-INSECURITY-not being accepted- and there is a constant desire toplease sothat she will be accepted .She has experience with her mother- where she perceived her mother has withdrawn from her, rejected herHer feeling is-AMI NOT HER DAUGHTER, I COULD NOT THINK MOTHER NOT TALKING TO HER CHILD.
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In school she was not good atmath ,students use to tease her and she worked very hard to get good marks.In college she wanted particular sit in a subject but it was not easy but she worked hard to get the subject.She puts 24x7x365 to make sure work is done.
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STRESSFUL SITUATIONS
With the first husband-Felt I am dependent on himPhysically abused.Told her that she is dark, had glasses, and not as good as him,Felt inferior about herself, unloved, rejected. Am I so stupid?After divorce:did not get child support, butShe worked hard 18 HOURS A DAYto take care of her child. MAIN FEELING was- AM I FOOLISH AND FOOLISHLY WORKING HARD AND VERY STUBBORN TO TAKE MONEY FROM HER PARENTS.Her main concern after divorce was- her husband will snatch her son from her .
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With delayed 2ndmarriage
Felt unlovedshould I be pleasing him, Am I not doing enough?FEELING-INSECURITY- NEGLECTEDCLIP 2 AND CLIP 3IN BAD SITUATIONS WHAT WAS YOUR EXPERIENCE ?AS IF I AM CARRYING A BAGGAGE, I AM STUPID.
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Nature
She is very perfectionist since childhood , OCD kind of thing , her work should be perfect.She is very caring , loving , she likes talkingHobbies: Work is worship,worked more than 14 hours to please othersShe will trust people easily , that people take advantage and people sometimes dominate her. She is not at all dominating in nature.She is responsible , she takes responsibility in terms of work .In office she handles lot of projectsShe is very stubborn , fixed once she decides something very difficult to convince her.
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She gets convulsions with every excitement .she can not go out with family ,she was very excited about work. MAIN FEELING IS- I M USELESS , I M WORTHLESS.
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Dreams:
Dreams- dreams of snakes all aroundDreams of hot barrels , petrol cansblustedand burned (clip 5)Dreams of travelingCLIP 4
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2NDINTERVIEW
In first interview she mentioned that she has suffered wrongWrong things has happened to her in childhood as well as in the marriages.So I started with that feeling …..Clip 5Clip 6- hobbies and interests.FELT CONFUSED…INFERIOR
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EFFECT OF THE DISEASE
She feels restrictedShe feels dependentOpposite is to be freeFriziumis making her stupid.
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Analysis
She felt insecure, unloved, neglected and she constantly tries to please .Felt inferior about herself- dark, had glasses, bad at mathsShe is being rejected and not accepted byfamily- her delusionFelt stupid about herself(delusion stupid he is)Anxiety about the son.Not loved by family, she is emotionally dependent.Very stubborn and fixed.
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Prescription
Rx-LacAssinum200 twice in a day for 2 days .
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Themes oflac
Main theme of Lac is dependent and independentNurturing and lack ofnurturing , mammal milk is to nurture.When things go wrong with the mother or baby, bond connection with mother and baby.Feeling of having suffered wrong and the suppression of natural instinct in order to be harmonised with the group to which he needs to belong.Feeling of forsaken , isolation and separationLack of feeling secure
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Lacassinum
StupidityIgnoranceHumilityFoolish but obedientFeeling of innocent, passiveDefenceless, passive weakness.SurefootednessConfusion .
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Ref work:massimo
Stupidity and StubbornnessIgnorance, darkness, idiocyHumility and Kindness – a little foolish but obedientIndecisivenessA sense of anger, rage , taking revenge in LAC EQUINUM anger is not expressedThe anger is so suppressed inlacassinumthat it often comes in their dreams like awfully killing someone destroying something. THIS IS REPRESSED HIDDEN ANGER.These patients often come with compensatory state of anger , we cannot make out from there face about the anger .but in dream state they can be a killer.LacAssinumcomplaints of being victim , on the other hand LacEquinumnever feels like victim.LacAssinumis stubborn which often interpreted as stupidity and sure footedness.
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follow up(14/11/15)
One mild attackFriziumdecreased to 25 mg from 30 mgBetter in generalGood dreamsPrescription:LacAssinum200 twice in a day for 2days
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Follow Up: 2/2/16
VideoNoconvulsionsUrinary infection- Pus cells- 6-8, Epithelial cells- 5-7hpf.Much better over allPrescription:LacAssinum200, 1MPlussingmethod
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Follow up - 2017
video
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Follow up 2018
video
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Reshmi Deshpande- F_53 Case of _