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Case of multiple myeloma with Hepatitis - B
Dr. Dhiraj Nanda
MD (Hom.)
Presenting Complaints:
•Date
– 10/03/2003
•Pain
neck, leg, right foot – 5 years
•Numbness
of legs 2 years
•Diagnosis
–Multiple
myeloma (Bone Cancer) Grade III
Past history
•Hysterectomy
August 2002,
Malaria 15 years back,
•Chicken
pox – 35 years back
Family history / Thermal/ Generals / Thirst
•TB
indirect parental.
•Thermal
– Hot
•Generals
– Addictions – Coffee 3/day, Tea 1 / day; Desire open
air + / -
•Numbness
right side of face , Right leg
•Thirst
- Thirstless.
•Weight
– 74 kgs.
Mind
•Reserved;
Benign expression of anger,
•Cooks
food-item that children demand even after she has
prepared full meal. = Yielding (Told by brother on
enquiring).
•Observation
- Patient is sitting near but looking towards her
brother as if talking to them = Introverted.
Repertorial analysis
Remedy & Follow – up
•Date
– 15/03/2003
•Puls.
200 / 1dose followed by Vital Force 30 tds
•Date
– 25/03/03
•Numbness
& Pain >> >>
•Rpt.
– Vital Force 30 tds.
Follow – up
•Date
– 28/05/2003
•Hb%
up to 9.2 from 8.0 continue Vital Force 30 tds
•Date
– 18/06/03
•>>
>>
•Rpt.
– Vital Force 30 tds.
Follow – up
•Date
– 10/07/2003
•Hb%
9.4
•App-
decreased:
•Nausea
4 days;
•Stools
not free;
•Weight
– 74kgs
•What
to do?
•Vital
Force 30 tds
Follow – up 15/07/2003
•Vandenburg
reaction is immediate +ve
•Total
bilirubin 11.4 (0-1)
•Conjugated
Bilirubin 9.8 (0.1- 0.4)
•Unconjugated
Bilirubin 1.6 (0.4-1.0)
•SGOT
1213 (0-32)
•SGPT
962 (0-31)
•HBsAg
+ve (520.6)
•U/S
– borderline spleenomegaly.
•Req.
No.258 Vijaya Diag. Centre.
Remedy & Follow – up
•Date
– 15/07/2003
•Remedy
Repeated Puls. 200 / 1 dose followed by Vital Force 30
tds.
•Date
– 01/08/2003
•Eyes
greenish.
•Cannot
say if feeling better or worse. Does not feel much
change.
•Adv.LFT
& report next week.
Follow – up 10/08/2003
•Vandenburg
reaction is immediate +ve
•Total
bilirubin 18.9 (0-1)
•Conjugated
Bilirubin 16.8 (0.1- 0.4)
•Unconjugated
Bilirubin 2.1 (0.4-1.0)
•SGOT
960 (0-32)
•SGPT
554 (0-31)
•Req.
No.38 Vijaya Diag. Centre.
•Now
What to do?
Remedy & Follow – up
•Remedy
– Puls. 6 / 1 dose followed by Vital Force 30 tds.
•Date
- 17/08/03
•Feeling
better in every aspect.
•Total
bilirubin 2.7 (0-1)
•Conjugated
Bilirubin 1.5 (0.1- 0.4)
•Unconjugated
Bilirubin 1.2 (0.4-1.0)
•DataLab
OP.No.2872 / LR NO.820
Follow – up
•Date
– 07/11/2003
•Constipated.
Not feeling active. Mild pain in back.
•Remedy
Puls. 30 / one dose followed by Vital force 30 tds.
•Adv
test for HBsAg, LFT, Hb%.
Follow – up – 18/11/2003
•Total
bilirubin 0.9 (0-1)
•Conjugated
Bilirubin 0.2 (0.1- 0.4)
•Unconjugated
Bilirubin 0.7 (0.4-1.0)
•SGOT
10 (0-32)
•SGPT
12 (0-31)
•HBsAg
-ve
•Hb%
11%
•DataLab
OP.No.3346 / LR NO.239
Follow – up
•Follow
– up
•Since
18/11/2003 patient is on Vital force 30 tds.
•Inference
: The miasm change from Syphiltic to Sycotic.
•Adv.
Bone scan in Feb. 2004.
This was one of the initial cases of two destructive
diseases, cancer and hepatitis B, of my practice at
Hyderabad. This patient was improving in cancer
condition also as indicated by the above report and her
general condition. But she met with a road transport
(traffic) accident and died because of complications of
the accidents. Perhaps she was destined not to live
longer.
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