The Physician’s Highest Goal
Treating a patient in the most efficient manner has been the goal of the medical profession since man first fell sick. To achieve that the important aspect of treatment that is recognized by physicians is diagnosis or understanding what is wrong with the patient. Dr Samuel Hahnemann, who I believe was way ahead of his time, then understood the importance of understanding the concern of the patient in his terms rather than treating every patient just like another brick in the wall. Each person has a individualized concern and the disease is nothing but a manifestation of the same.
What brings a patient to our clinic?
Is it the suffering? It is usually seen that when a patient begins to feel the disease he resorts to homemade remedies or over-the-counter drugs etc. The time duration of such trials vary. Some persist on their own medication and modes of cure for months before coming to the clinic. What is it that prompts them to come to your clinic? It is the inability to cope with their daily routine that brings them to your clinic. The loss of energy, which Dr Hahnemann has so beautifully termed as the vital energy, the force or principle. In Aph.§9 Dr Hahnemann has said, “During health a spiritual power (autocracy, vital force) animates the organism and keeps it in harmonious order.” It is a deficiency in this energy that brings a person to the physician seeking help. In a depleted state the patient still manages to keep himself comfortable by fine tuning himself to suit his condition. This is adaptation, coming from the word, “adapt” or to make suitable to or fit for a specific use or situation. The effort made to maintain the harmony with the self and the environment is adaptation. When even his adaptation fails to maintain the harmony he comes or is brought to the clinic. The adaptation of a person is reflected in the way he manages himself in the state of discomfort.
What is to be treated in a patient?
A person seeks professional help of a physician when he is lacking in his vital energy. If this much is clearly understood then it is obvious that the treatment of the patient is restoration of the lost energy. If the appropriate energy is given to the patient, the autocratic power that animates the organism works towards restoring the body to the optimal level of normalcy. So the pathology is reversed last but the vital energy is restored first. It is this restoration of vital energy that gives the feeling of well being to a person on being given the correct dose of a homeopathic medicine.
What is homeopathic medicine?
Homeopathic medicine is the metaphysical energy that gives the character to the substance / form of its origin. So, a homeopathic medicine prepared out of Aur Met has the metaphysical energy of the quality of Aurum metallicum When a patient has a loss of energy akin to that of the energy of Aur met and a homeopathic dose of Aur met is given to the patient, the miracle of homeopathic cure takes place. If a wrong medicine is prescribed, no harm is done as the healthy vital force is strong and does not get affected by this minimal dose of energy.
If adaptation of a person is the key to selection of the remedy, then how does one go about collecting information about the adaptation of a patient?
Every patient expresses himself by three means of communication…
- Body Language
- Facial Expressions
- Verbal communication constitutes only 7% of means of communication. It is only the words used by the patient and is the most unreliable communicative tool. The unreliability stems from the ease with which verbal communication can be manipulated. This manipulation distorts the true concern, adaptation and reactions of the patient. The method of perceiving this mode of communication is HEARING.
- Tone is the manner in which the patient communicates verbally. This makes up 35% of means of communication. This is a reliable source. The means of observing the tone is LISTENING and PERCEIVING.
- Gestures are motion of hands or body to emphasize or help to express a thought or feeling. It is something done as an indication of intention. Gestures are the use of movements (especially of the hands) to communicate familiar or prearranged signals. Gestures can be broken up into:
- Body language
- Facial Expressions
- Gestures make up the remaining 58% of means of communication. Gestures are a very reliable source of information. The means of noting gestures is KEEN OBSERVATION.
Case taking can be done effectively by asking open-ended questions not related to the physical discomfort or ailments of the patient. For example: ‘How may I help you?’ is a wonderful way of starting a case taking. If the patient is talking it is. Absolutely important that the physician should not interrupt or block the flow of speech of the patient. Such a spontaneous flow is the mirror of adaptation. All things told by the patient in a spontaneous manner reflect adaptation. The next round of questions if needed should be related to how the patient manages his daily routine in spite of his discomfort. Lastly the concern of the patient if not already got should be probed into. This is the detailing of the persons adaptation. It is best to base a question on the words or phrases used by the patient himself and probe further. It is important to note that probing and questioning should be done only and only if the necessary information you need is not available in the first say of the patient.
Dr Sanjay Solunke