From the lens of a Paediatric Homeopathic Physician
From the lens of a Paediatric Homeopathic Physician
Learning to handle Acute Pediatric cases in a clinical set up.
Dr. M. L. Dhawale in his book “Principal and Practice of Homoeopathy” has mentioned,
“He who is a trained Homoeopathic physician knows WHAT to look for, WHERE to look for and HOW to look for”.
This clinical training is conducted on a day-to-day basis so that the learners are able to get un-distorted image of the patient. Handling such patients in In- Patient Department (IPD) with Homoeopathy requires different a set Knowledge, skill and attitude. These challenges can only overcome by training to be a through clinician, developing good bed side examination skills and by enhancing the clinical history taking.
“One observes what one expects to see”.
While observing a patient our prejudices always come in our way, which leads to a lot of errors in observation and in perceiving the entire clinical case. Rigorous clinical training helps in reducing the prejudices.
Treating acute paediatric conditions is always a challenge and what is the scope of homoeopathy in acute paediatric ailments? is a question which a lot of learners seek answers to! So how does an Homoeopathic physician develop an acumen in managing acute paediatric condition with Homoeopathy?
Taking into consideration all these, the next series of newsletter issues will be presenting a case, which will focus on the development of various skills, attitude and knowledge of the physician and how one uses it in a sound manner to obtain results in a clinical practice.
As mentioned in the introductory post of the newsletter, we are attempting to “Break the Fourth Wall” and have a dialogue with the readers of the newsletter- making it interactive. Through this case, we intend to facilitate online learning using principles of digital pedagogy in instruction and training; by applying the principles of learner-centric MOOC’s (Massive Open Online Courses).
The case will be divided into 4 modules: -
1) Module 1 – Introducing the case with a video presentation- Dr Nikita Mehta Oza
2) Module 2 – Clinical presentation and diagnosis of the case –PG Residents
3) Module 3 – Totality of the case, Materia Medica differentiation and Final prescription – PG students –PG Residents
4) Module 4 – Conclusion and conceptualization – Dr Nikita Mehta Oza
Each module will end with a few questions; please reply to those in comment section below.
Happy Learning!
Dr. Sonam Tiwari Mishra
Co-ordinator, Integreated Homoeopathy Newsletter
Asst. Editor, JISH
Learning to Manage Acutes in Paediatric Practice with Homoeopathy
by
Dr Nikita Mehta Oza and Team
About Dr. Nikita Mehta Oza, M.D. (Hom) Paediatrics, Ph.D (Scholar):
Dr Nikita Mehta Oza is currently an Assistant Professor in the Department of Paediatrics, Dr. M. L. Dhawale Memorial Homoeopathic Institute (MLDMHI), Palghar, India. She is an approved PG Guide in Paediatrics at the Maharashtra University of Health Sciences (MUHS), Nashik, India. She is also the Subject Expert (Paediatrics) for P.G Competency Based Dynamic Curriculum, Homoeopathic Bducation board, National Commission for Homoeopathy (NCH), New Delhi. She is actively involed in Clinical Training, Academics , Community Health initatives and Research at the Department of Paediatrics, MLDMHI. She is an artist- who paints and writes poetry. She is also an avid traveller.
Module 1 – Introducing the case with a video presentation- Dr Nikita Mehta Oza
MODULE -01 VIDEO
PS: Please reply to the questions asked in the comment section below. Also, if there any other queries in relation to the case please put them in the comment section, it will be addressed to by the Team.
Thank you Dr. Nikita and her team for sharing such an enriching acute case along with the video which enables us to experience the emergency situation exactly the way you did.
And the importance of time in whatever decisions we take in the case management with respect to investigations, diagnosis and treatment.
According to me Lower Respiratory Tract is the system involved due to the labored breathing, patient seems to be better lying on the right side. Very rapid onset of symptoms from Throat to lungs.
Would like to know about mental concomitants or rule out any event of anxiety/panic with the child which has led to hyperventilation, considering the mother also has an anxious temperament.
Investigations- CBC, ABG, CXR
Management- Nebulisation along with Acute Homeopathic remedy followed by I.C & C.R.
Respiratory system is mainly involved- resp. distress - use of accessory muscles.
First we have to assure mother and relax her so that proper history can be taken up about the complaints.
With that the general and systemic examination will help further.
Investigation - BSL, CBC, ABG, CXR can be thought of, and observe any PQRS symptoms,.
In such cases, acute homoeopathic medicine can be prescribed on the basis of acute totality.