Dr Wequar Ali Khan using the P&W Therapeutic Pocket book.
Case discussed with Gary Weaver D.O.
This is a story of a 11 year old girl. i will address her as Miss A.
During my volunteer work i met her mother Mrs G, who was introduced by a common friend, whose grand daughter I had treated earlier for ADHD. She asked me if i could help her daughter for her behavioral issues. She knew I was a homeopath.
I asked her to Email me in detail about her daughter’s health and mental issues.
Sept 16, 2013 Her first email is being reproduced verbatim, but names are not mentioned, only initials to protect identity.
“Hi Dr. Wequar, this is Mrs A. I,m providing Miss A hx as previously discussed in the break room.
I would really apprecite your help with this challenge.
Miss A was the product of a full term pregnancy, 38 weeks, and was delivered via emergency C-section after trying natural child birth. Miss A weighed 7 lbs. at birth. Developmental milestones were within normal range. Everything seemed normal at first. Shortly after however, she had a lot of gas, fussiness, and abdominal pain during feeding and there after. Feeding time became difficult. Mother was able to breast feed for only 6 weeks she didn’t produce much milk, and it became very frustrating.
Miss A demonstrated slow weight gain from the beginning until the present time at age 11. She often spit up during feedings, began vomiting, and at times displayed projectile vomiting. By 1 month of age she was diagnosed with reflux and began to take Reglan and Zantac medicatons. She got better. Medication stopped at about age 1. However, she developed some feeding problems after age 1 when we moved to “another” city for 1 year. She was also constipated, taking Miralax to resolve this. She presently takes Calcium Magnesium Citrate for constipation and probiotics for digestive issues. She began to eat better at daycare by about age 2. Miss A, still showed difficulty gaining weight and was diagnosed failure to thrive as an infant.
Socially when beginning daycare at 15 months, she demonstrated anxiety, often clinging to mother and crying when left there. She was often sick getting colds often sometimes weekly. Later on developed strep throat at times etc.
At age 4 right before starting pre-k a significant event happened at a new daycare she attended. Everything was normal until one day Amanda stopped speaking in class. I asked her what happened in this place. She told me one of the teachers pulled down her pants and spanked her in front of everyone.
When I confronted the administration they vehemently denied this stating children often say things that ate not true. Miss A was questioned and examined by the pediatrician indicating no harm was done. I immediately removed her from this school, however she did not speak in school during pre-k and kindergarten.
She began to speak in first grade. During kindergarten she was referred for an evaluation at school due to concerns with her behavior and learning. The report stated that she refused to speak within the school setting.Miss A had or still has to a lesser degree difficulties with nervous like tendencies, inattention, and silly behaviors.Miss A has difficulties regulating and effectively coping with her emotions/feelings.
She presents as a very shy student who is slow to warm up to new individuals. Once she warms up she presents as a sweet person eager to share her knowledge and experiences.
She was diagnosed with ADHD in 2nd grade. Ritalin and Naturapathy were used to treat this, including intravenous treatment of phospholipids, b12, phenyl buteric acid, glutithione, and infusion of multi-vitamins. When applying only natural treatment some symptoms seem unresolved such as inattentin, distractibility, silly behaviors, becoming fixated on certain things, and anxiety, social fears.
Miss A most of the time eats 3 well balaned meals a day. Mother encourages organic food and healthy habits. Amanda prefers to eat McDonalds, and other fast foods. Miss A lives with both parents and younger brother. Has good relationships with family. She enjoyed going to acting classes last year and will resume this year. She also enjoyed play dates with friends and talking onthe phone with them.
She has now transitioned into middle school, a completely new environment and challenge. She displays some social anxiety in having to establish new peer relationships. She is also having difficulty with staying focused, on task, and completing assignments. Please help. Thank you.”
Going through the Email i pondered what is in the case to be treated? Is it the “shameful” incidence that took place in the day care, which sort of “shut her up”, or we have to prescribe on her present symptoms?
I often discuss my cases with a friend and mentor a very qualified homeopath of long experience who lives in Europe.
In the meanwhile I prescribed STAPH 30, but asked her to wait. My mentor and I, after discussion, agreed that more details were needed. Such as ” silly behaviors,” what are the nervous tendencies, etc? Also, under what circumstances she was prescribed Ritalin? I also assured her that Miss A can be helped with Homeopathy.
17Th Sept 2013 I received the following
“Silly behaviour, for example jumping up and down, making silly noises while making a video of herself after she finish her homework. She feard”
She further elaborated
“Amanda was prescribed Ritalin for inattention, distractibility, fidgeting, getting out of her seat often, impulsivity, lack of focus, inability to stay on task and complete assignments, forgetting things such as her school materials, assignments, lack of organization, staring blankly at times. She displays these behaviors at home and at school
. Amanda showed improvement in these symptoms when prescribed Ritalin 17 mg per day , however the side effects weren’t good. She lost her appetite and was eating very little, reported stomach aches and nausea, and developed facial tics. She was taken off the medication after 6 mos.
At this time naturapathy was introduced up to this present time. She showed some improvement in symptoms. However, she still has the inattention, some impulsivity, and anxiety as before that I will discuss. I introduced her again to Ritalin 5 mg this time. in Sept. of this school year due to teachers constant complaints of the above symptoms.
Amanda displays social anxiety in new relationships and situations. She seems insecure and lacks self-confidence socially and academically. She seems to have difficulty initiating relationships with peers, and resolving conflicts when they arise.
She fears doing oral presentations in front of the class. When asked to do so she reports she gets very nervous, freezes, her hands sweat and she forgets what to say. Sometimes she misses social cues. Once she warms up to peers she is eager to share her interests and experiences with them
.She appears sensitive to criticism from peers and others and takes comments said to her personally, getting her feelings hurt easily and feeling rejected. She also has trouble adjusting to changes in her environment. For example, changing schools, teachers, making new friends, etc.
She displays silly behaviors at times, not respecting limits or knowing when to stop joking around even though she was told to stop. For example she was making a video of herself dancing around and talking loudly last night with her brothers stuffed animal inside the back of her shorts. When asked to stop because she was disturbing everyone she kept going.
She does silly things like this from time to time. An example of her inattention would be when she sits down to do homework. She will do some and shortly after begin to tell me stories, I have to tell her repeatedly to stay in task because she will tell stories get up often, begin to play with something, etc. Some days she is more distracted then others. She does this even if there are no distractions in the in the environment”
On receipt of this I “repertorized” the case with following rubrics, which is reproduced below.As you can see LYC and IGNATIA showed up on top.
At the same time, Gary had also done his analysis with far lesser rubrics and I received his chart which also showed IGNATIA, and that Miss A not be given Ritalin.
It gave me immense satisfaction that my analysis had come up with same medicine but i had used many rubrics.Finally IGNATIA 200 was prescribed with instruction to use it in water doses.
7Th October 2013
I got following email
Good morning Dr. Wequar. I wanted to give you an update on Miss A from the last time I e-mailed you.
Her teacher is still reporting that Miss A has a lot of trouble staying focused on her work and doing her assignments. She reports that often she will just puts her name on the paper and not do anything more than that. She seems to just daze off. She states she’s been doing this for more than 1 week.
The teacher asked me if she was still on medication. I asked “A” what was happening. She stated that sometimes the work is hard and she just gives up. I believe that she’s still struggling with stating focused and since the work is a little more challenging she gives up. She was able to do it when taking the Ritalin.
She continues to take the homeopathic medication you recommended as indicated 2 tablespoons daily. Amanda reports that at night she sometimes isn’t tired but in the morning she is. I noticed she falls asleep a little later now. What do you recommend for these issues. Your help is greatly appreciated. Thank You .Mrs G
7Th October My reply
Dear Mrs G
I do not want to change medication at this stage, but I feel that she needs to go to Higher Potency ie IGNATIA 200. Please procure this and let me know. You will need to prepare it the same way and dispense one dose a day. Do not go for RITALIN.
Call me in next few days after you have used IGNATIA 200. Please note my treatment started think around mid Sept and on 27th you reported positively. I am hopeful she will show improvement soon.
19Th October 2013
“Good Morning Dr. Wequar
I wanted to give you an update on Miss A as per our last e mail. I started her on Ignatia 200 almost 2 weeks ago. As per teachers report yesterday, she says that Miss A is starting to come out of her shell little by little.
She is starting to make friends with her peers. She says however, she doesn’t have much initiative in class, she has to direct her for everything, doesn’t focus or complete assignments even though they have been reduced largely and are easier. Is there anything we can do to help her. Thank You for your help. Mrs G”
19Th October 2013, My reply
Dear Mrs G
Thank you for the update.I see that the medicine is working in 200 potency, as such continue with it for 10 days more and let me know of her progress. After that I will see if higher potency is needed.
As long as there is progress even though it may seem slow its a good sign.
With best wishes
27Th November 2013
After the above exchange of emails, I happened to meet Miss A on 27th November, she seemed extremely jubilant.
After she went to her new school she is doing extremely well, and making very steady progress. So homeopathy has changed one more child from what she was and the good student she has turned out to be.
At the same time it has won one more battle against RITALIN. Homeopathy is moving forward.