Guest guest Posted August 18, 2012 Report Share Posted August 18, 2012 Very difficult when not treating someone yourself but based on info given I would be looking at degree of Qi stagnation in chest. Underlying anxiety could be an issue due serious nature of situation. However a lot of the blood moving herbs I would consider would be incompatible with warfarin.With anything like this I also consider extreme medicine e.g. In disabling panic attacks using Atropa if appropriate etc.Difficult! Lorraine Lorraine Hodgkinson AHG MRCHMHERBS AND HELPERS6, Butts Fold, Cockermouth,Cumbria, CA13 9HY. UK.Tel: +44 (0) 1900 826392Mobile: 07761 489838 (O2)www.herbalmedicineuk.comOn 17 Aug 2012, at 20:47, "irishherbalist" wrote: Dear Colleagues, I was hoping you could help me with a complex case I have at the moment which is puzzling me, I will try and keep it summarized and concise. 35Yo male: June 2008 diagnosed with Type 1 diabetes and congenital aortic bicuspid valve defect – surgery very successful for value defect (2009- ionx mechanical valve replacement). On warfarin to prevent coagulation, no warfarin related issues to date INR in range. No history of autoimmune or diabetes in family. Father died young @ 45yo, uncle the same, other uncle alcoholic also died young. Other family issues valve defects presenting in nieces and nephews at birth – siblings all well. Pre- diabetes diagnosis (2008) pt had viral Sx, tonsillitis rapid onset of septic symptoms (12 hours) remitting and relapsing, critical symptoms before diagnosis were blurred vision and faintness while playing soccer - Dr suggested the Diabetes was virally activated ( ???). Only other relevant info here is that he had spent the previous 6 months on Australia travelling around – no xs Alcohol, drugs, bites, infections, gastritis etc. Pt is on a low dose of insulin (10um am 6 um pm ) says occasionally he has missed some evening dosages and blood sugar did not increase. GIT: duodenal inflammation Dx at junior cert, pt still feels tenderness over this point on a daily basis but reports no digestive issues at all, bowel moving regularly. Diet good and well rounded – informed Lifestyle: pt very fit walks 8-10 km daily will play football , swim, cycle – only drinks once a week, work stress manageable. HERE IS MAIN PC March 2012, pt was at a friends house started to feel ill Went and lay down within 30- mins pt felt he was having heart attack, could hear heart beating and felt he was losing consciousness- difficulty breathing. Ambulance called pt admitted to St Dublin, all CVS investigations – NAD In summary the pt had 3 more trips to hospital all bloods and CVS checks normal, Dr suggested `viral' cause. Pt has also attended a very reputable Cranio – Osteopath and physio to address and physical immobility in the shoulders and chest area. Sx's the patient experiences: pt reports a sensation of his entire ribcage shaking inside and a sensation of pressure on his lungs so that he feels like he is suffocating, he also gets a feeling that he could actually die, the cranio osteopath has been able to reduce the severity of the sensation of the ribcage shaking inside, but there is an almost constant sensation of the pt chest having such an intense amount of pressure on it that he can't breathe ( this can happen up to 30 times a day). I have to stress that this man seemed to me to be intelligent and rational, very self aware, no hint of any anxious tendencies or history of any depression or psychiatric episodes. He is genuinely distraught with his current symptoms. Only other Sx of note is a Hb reading of 15.7 (13-17.5), all other blood liver etc fine. Have no reading of serum ferritin etc.. (?)( Haemochromatosis did cross my mind as the pt says he eats little red meat yet iron is still in upper range, BUT his liver is fine and he has no fatigue as such). Further tests to consider: EBV, H.Pylori, Haemochromatosis, vit D3? Would really love some collective wisdom on this one anything jumping out apart from the Viral hypothesis..? Has anyone seen similar Sx in clinic of late, Have also considered dodgy batch of either warfarin or insulin but pt works as computer engineer in Pharma and has already checked out this theory. Really appreciate you taking the time to read this ... Ciara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2012 Report Share Posted August 18, 2012 Dear Ciara,What Sxs precipitated the Dx of Bicuspid Aortic Valve? He would have had to have had a heart echo to discover this. Why? Usually this heart defect is mild enough to go unnoticed unless it calcifies and they drop down dead... Maggie Maggie Pope BSc [Hons] MNIMH MCPPSedgemoor House39 Taunton RoadBridgwaterSomerset TA6 3LPwww.growingmedicine.co.ukinfo@... Growing Medicine is a trading name of Comeytrowe Manor Ltd, Reg in England No. 7042776. Reg. Office 20 Larch Close, Taunton, Somerset, TA1 2SF To: ukherbal-list Sent: Friday, 17 August 2012, 20:47 Subject: Puzzling case.... Dear Colleagues, I was hoping you could help me with a complex case I have at the moment which is puzzling me, I will try and keep it summarized and concise. 35Yo male: June 2008 diagnosed with Type 1 diabetes and congenital aortic bicuspid valve defect – surgery very successful for value defect (2009- ionx mechanical valve replacement). On warfarin to prevent coagulation, no warfarin related issues to date INR in range. No history of autoimmune or diabetes in family. Father died young @ 45yo, uncle the same, other uncle alcoholic also died young. Other family issues valve defects presenting in nieces and nephews at birth – siblings all well. Pre- diabetes diagnosis (2008) pt had viral Sx, tonsillitis rapid onset of septic symptoms (12 hours) remitting and relapsing, critical symptoms before diagnosis were blurred vision and faintness while playing soccer - Dr suggested the Diabetes was virally activated ( ???). Only other relevant info here is that he had spent the previous 6 months on Australia travelling around – no xs Alcohol, drugs, bites, infections, gastritis etc. Pt is on a low dose of insulin (10um am 6 um pm ) says occasionally he has missed some evening dosages and blood sugar did not increase. GIT: duodenal inflammation Dx at junior cert, pt still feels tenderness over this point on a daily basis but reports no digestive issues at all, bowel moving regularly. Diet good and well rounded – informed Lifestyle: pt very fit walks 8-10 km daily will play football , swim, cycle – only drinks once a week, work stress manageable. HERE IS MAIN PC March 2012, pt was at a friends house started to feel ill Went and lay down within 30- mins pt felt he was having heart attack, could hear heart beating and felt he was losing consciousness- difficulty breathing. Ambulance called pt admitted to St Dublin, all CVS investigations – NAD In summary the pt had 3 more trips to hospital all bloods and CVS checks normal, Dr suggested `viral' cause. Pt has also attended a very reputable Cranio – Osteopath and physio to address and physical immobility in the shoulders and chest area. Sx's the patient experiences: pt reports a sensation of his entire ribcage shaking inside and a sensation of pressure on his lungs so that he feels like he is suffocating, he also gets a feeling that he could actually die, the cranio osteopath has been able to reduce the severity of the sensation of the ribcage shaking inside, but there is an almost constant sensation of the pt chest having such an intense amount of pressure on it that he can't breathe ( this can happen up to 30 times a day). I have to stress that this man seemed to me to be intelligent and rational, very self aware, no hint of any anxious tendencies or history of any depression or psychiatric episodes. He is genuinely distraught with his current symptoms. Only other Sx of note is a Hb reading of 15.7 (13-17.5), all other blood liver etc fine. Have no reading of serum ferritin etc.. (?)( Haemochromatosis did cross my mind as the pt says he eats little red meat yet iron is still in upper range, BUT his liver is fine and he has no fatigue as such). Further tests to consider: EBV, H.Pylori, Haemochromatosis, vit D3? Would really love some collective wisdom on this one anything jumping out apart from the Viral hypothesis..? Has anyone seen similar Sx in clinic of late, Have also considered dodgy batch of either warfarin or insulin but pt works as computer engineer in Pharma and has already checked out this theory. Really appreciate you taking the time to read this ... Ciara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2012 Report Share Posted August 19, 2012 " Sensation " of ribcage shaking and of suffocation, or was ribcage actually shaking? What about referred sensation due to (perhaps diabetic) nerve involvement higher up? Lung and heart neurology and feedbacks mighty complex networks of course. Dear Colleagues, I was hoping you could help me with a complex case I have at the moment which is puzzling me, I will try and keep it summarized and concise. 35Yo male: June 2008 diagnosed with Type 1 diabetes and congenital aortic bicuspid valve defect – surgery very successful for value defect (2009- ionx mechanical valve replacement). On warfarin to prevent coagulation, no warfarin related issues to date INR in range. No history of autoimmune or diabetes in family. Father died young @ 45yo, uncle the same, other uncle alcoholic also died young. Other family issues valve defects presenting in nieces and nephews at birth – siblings all well. Pre- diabetes diagnosis (2008) pt had viral Sx, tonsillitis rapid onset of septic symptoms (12 hours) remitting and relapsing, critical symptoms before diagnosis were blurred vision and faintness while playing soccer - Dr suggested the Diabetes was virally activated ( ???). Only other relevant info here is that he had spent the previous 6 months on Australia travelling around – no xs Alcohol, drugs, bites, infections, gastritis etc. Pt is on a low dose of insulin (10um am 6 um pm ) says occasionally he has missed some evening dosages and blood sugar did not increase. GIT: duodenal inflammation Dx at junior cert, pt still feels tenderness over this point on a daily basis but reports no digestive issues at all, bowel moving regularly. Diet good and well rounded – informed Lifestyle: pt very fit walks 8-10 km daily will play football , swim, cycle – only drinks once a week, work stress manageable. HERE IS MAIN PC March 2012, pt was at a friends house started to feel ill Went and lay down within 30- mins pt felt he was having heart attack, could hear heart beating and felt he was losing consciousness- difficulty breathing. Ambulance called pt admitted to St Dublin, all CVS investigations – NAD In summary the pt had 3 more trips to hospital all bloods and CVS checks normal, Dr suggested `viral' cause. Pt has also attended a very reputable Cranio – Osteopath and physio to address and physical immobility in the shoulders and chest area. Sx's the patient experiences: pt reports a sensation of his entire ribcage shaking inside and a sensation of pressure on his lungs so that he feels like he is suffocating, he also gets a feeling that he could actually die, the cranio osteopath has been able to reduce the severity of the sensation of the ribcage shaking inside, but there is an almost constant sensation of the pt chest having such an intense amount of pressure on it that he can't breathe ( this can happen up to 30 times a day). I have to stress that this man seemed to me to be intelligent and rational, very self aware, no hint of any anxious tendencies or history of any depression or psychiatric episodes. He is genuinely distraught with his current symptoms. Only other Sx of note is a Hb reading of 15.7 (13-17.5), all other blood liver etc fine. Have no reading of serum ferritin etc.. (?)( Haemochromatosis did cross my mind as the pt says he eats little red meat yet iron is still in upper range, BUT his liver is fine and he has no fatigue as such). Further tests to consider: EBV, H.Pylori, Haemochromatosis, vit D3? Would really love some collective wisdom on this one anything jumping out apart from the Viral hypothesis..? Has anyone seen similar Sx in clinic of late, Have also considered dodgy batch of either warfarin or insulin but pt works as computer engineer in Pharma and has already checked out this theory. Really appreciate you taking the time to read this ... Ciara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2012 Report Share Posted August 19, 2012 Hello Ciara, Following 's comments; I was thinking about vagal nerve involvement - it is common to all organs involved and would explain some of the Sxs. The frustrating thing about people is that despite being rational, self-aware and seemingly well-together, they can still carry suppressed distress that can surface in just such manners. Having written that, I'm reminded to comment on: 1. the Sxs could frustratingly be the result of recently onset food allergy (which is why the cranial osteopath is not able to completely settle them) 2. has there been any bereavement in the Px's life, particularly recently, as this can trigger ANY Sxs and any recent reminder of bereavement can have set of the current pattern 3. the initial Sx pattern and heart health is an interesting sequence and could exhibit un-dealt with emotional traumas or issues... I would be thinking of nervines in treatment. I trust this doesn't muddy the waters further. Good luck and blessings, Benn "Sensation" of ribcage shaking and of suffocation, or was ribcage actually shaking? What about referred sensation due to (perhaps diabetic) nerve involvement higher up? Lung and heart neurology and feedbacks mighty complex networks of course. Quote Link to comment Share on other sites More sharing options...
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