Remedy code: 3-665.73.14.
A 79-year-old woman, has visions that make her anxious, after a comatose period. She was admitted five months earlier because of corona, she was given 10 days of sleep medication and ventilation, but she did not wake up. After that, it took a few weeks for her to recover. She talks, talks well, is alert, and has been bivouacked in a corona ward for three months now. Before admission she was screaming in pain; she had fallen and was on morphine because of a broken rib. It all started with migraines, she is familiar with that, then diarrhea, and vomiting, it looked like stomach flu. She was not stuffy, but saturation was low, she had pains throughout the body. The weekend before, she was already confused and forgetful. Now she is still exhausted. What her main complaint is: she sees people, for example, her husband (who is in a nursing home somewhere else), and that's where it started, she saw him sitting for four days, also during the day, or a woman with children, or a dog. This week she saw another man for the first time, sometimes she sees children playing. Usually, it is in the evening or at night, when she is sleeping or when she wakes up in the night. She finds it scary when she is sleeping, those children are on everything, and she has to hide her clothes for the night, otherwise, they are on them. Sometimes she thinks they are under the bed, then she can feel movement. She hears them touching her things. Sleep is otherwise good. Later she also talks about ‘those parties’, all those dancing people upstairs. She gets Haldol, and rivastigmine, in addition to regular heart medication. Doctors don't want to send her home like this; she is diagnosed with “delusions. She is progressing well physically. She used to have migraines; once a year she would lay flat for a few days. She has a weak back and a herniated disc, and she has had many surgeries: gallbladder, kidney stones, uterus, ovaries, and back. Never before has she been bothered by anesthesia. Always had leg pain with sitting, it gets better with standing. In the past she has had as many as ten times a TIA, and also a heart attack. Several times a cerebral infarction, and then she had arm pain for a day and it passed again, since then reading has been more difficult. In her life, she took care of the children, did office work, played the piano, was in a singing choir, did crafts, and sewed clothes for the children. She was always busy. Now she is overtired, she is “through,” then she is gruff, you can see it on the face, children tell. She was a go-getter, she always goes for it, even with the back pain, then she went to gymnastics, and kept smiling. On this ward she collapsed twice, just like that, she stayed lucid but I couldn't move anything. During conversation, she staggers or shuffles around the room to close the curtains or grab something.
Analysisthe coma was artificial, she did not wake up.
Solanales: 'the delusions, people' section mentions many
Solanaceae: a reason to look at the whole family.
These kinds of images are related to stimulation of the meninges, as in dreams or inflammation or fever. An important feature in the
Solanaceae.
Migraine was violent (violent symptoms fit this family).
Gold series: consciousness, the migraine.
Silver series: hobbies, art.
Stage 7: her body held up, end.
Stage 14: life seemed over, she was exhausted. Laughing with the back pain, living but not being able to do anything (the weeks after medication).
Duboisia: Collapsing, lifeless. The rubric delusions. 'gestures on imaginary objects' mentions Duboisia among others.
Prescription:
Duboisia myoporoides MK.
Follow upShe is improving rapidly, she still sees images occasionally the first weeks, then tries to grab them. The doctors don't want to leave off the medicines, although they reinforce the 'images', she wants to get rid of them herself but doesn't dare do it on her own. They are not delusions, she sees lifelike images, but by now knows they are not real. Her energy arise, has normal colors, and he is allowed to go home and stop the medication. Things stay quiet, and after a few weeks, everything is gone. Doctors afterward suspect Charles Bonnet syndrome, images after damage to the retina. Lasering, however, had no effect. After those months, she looks still good, and does everything independently again. She can walk again but must look closely at the ground. The right hand remains numb. She looks fresh. After they had to move she regained the images for a while. But now after she went to the bathroom the images are gone. She doesn't find it scary anymore (after being explained repeatedly by her children that what she sees is not real, the doctors completely omitted that).