Blog - Shilpa Bhouraskar

The 3 Biggest "Repertorization" Mistakes

A repertorization program like HomeoQuest can make the process surprisingly easy,and it is super-effective at getting you the right remedy in minutes.

However good repertorization techniques are critical to get a highly successful prescription for your patients, no matter what program you use.

Here are some critical mistakes you need to avoid… especially when it comes to cases with predominant mental symptoms.

Discussion:

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Hi Shilpa,
Great as always! When you say to enlist the patient's help in nailing down the themes are you suggesting actually telling them what you think is going on so as to have them confirm or further explain? In a way kind of summarizing together the patterns as they seem to be? I'm not sure if that's what you mean.

Lissi

Thanks Lissi. Yes you are right. Most patients who have been through the consult and finished talking, are actually happy for you to ask fine tuning questions and confirm things for you. So you may not need to do a lot of explanation. Just saying that "I want to check that I have understood things correctly or get to the core of where you are coming from" is all that is required.

Thanks for clarifying!

Dear Shilpa,
thanks for this video, it is very valuable to me. I'm totally on the same page, I used to take my cases home with me and spend hours on analyzing them, often just to decide for a remedy which I had thought of during the consultation anyway!
Now I make a prescription during the consultation and don't limit myself by the imagination of a perfect one-shot remedy. Later at home I still review the case out of curiosity and think of possible following prescriptions.
I like your point of using the patient's help to find the remedy. Also your rules for repertorization are very instructive.
I enjoyed this video, thanks again!
Warmly
Jost

Glad this helped Jost.

Hi Shilpa
Great work, I learn many new tools regarding reportorisation from your discussion. Thanks a lot.

Aamir

My pleasure Aamir.

Thank you for this video. It is right on point. I have found all that you say to be true. Sometimes we focus on too many symptoms rather than getting at the core problem. I found this to be the case with a person who had an addiction problem. Finally, I focused on the lack of faith in the individual. Having tried many prescription medicines without success and ultimately drinking heavily. I kept emphasizing the misplaced faith in what the doctors were saying. The patient still suffers from side effects of taking too much adderall, but is doing better since stopping drinking and stopping bipolar medicine.

Well done Deborah. Yes it makes everything so much more simpler when you can distill everything down to the core problem.

Hello Dr ,
Good day,
It video is valuable . You told last mistake point no 3 is" choosing the first remedy that comes up in your repertorization sheet " and described a short case .

My first question is-- (for example in your case which described by you)
after repertrization some group of medicines comes which cover all rubric of repertorial totality, these all medicines seem similar to case. for more or exact similimum how to differentiate these medicines ? so that we can avoid choosing the first remedy that comes up in repertorization sheet.

Second Question -- sometimes those group of medicines comes , not covering all rubric , may be important to us by similimum of case, in your case you told about " Nat-Mur " may be important despite not covering pathological rubric like cyst. How to judge which medicine may be curative ?

Kindly reply of both ouestion in explanation !
Thanks..

Thanks for your questions Dr Rajesh. Both relate to remedy differentiation from the Materia Medica. It is a new topic by itself and hard to cover it in this space. But I promise to cover it in a new blog video.

Dear dr,

whenever you upload any video into your blog , kindly also upload transcription of your video so that we can understand very well because your video is valuable to us.

Dear Shilpa! Thank you! I have been waiting for this blog for a few years!! LOL! I love the 'version 1' concept -just do it! And 'you don't have to be perfect', and 'don't have to cover all the symptoms with the one remedy'! Takes the pressure off the perfectionists which always slows the whole process down! And it was very helpful showing us the simplification/essence/breakdown of the main elements of the case into 5 subgroups/ strata of symptoms.
Thank you very much!!! Very helpful!! :-) X

Thanks Lis. Glad this was helpful.

Wow, this was really helpful, Shilpa! I confess I make the first 2 mistakes all the time. OK, to clarify:
1. For Stage 3, the patient needs to make that Mind-Body connection. This particular patient connected her PCOD to her experience of disappointed love. So, we're asking the patient to give us the causation/aetiology, basically what happened to her that led to her disease.
2. We need the patient's experience of what happened. She felt punished (and she copes by punishing others), so we take punishment as a core factor.
3. We need to find out the patient's coping mechanism. This patient witholds love to punish others, as a means of control, so we take witholding as a core factor.
4. We need a physical general and PCOD is a hormonal issue.
5. We need the remedy to cover the chief complaint.

If I'm correct, then it would really simplify case analysis for me and I will certainly end up with fewer rubrics. Can't wait to try this on my next patient.

This is a golden concept--get the patient to do the case analysis for you. Thank you so much, Shilpa!

You are spot on Fatima. Look forward to hearing all about how you go with your cases this week :-)

So if rubrics are combined are they considered 1 rubric?

Yes. The idea is to include the remedies in them without duplication of common ones

Yes. The idea is to include the remedies in both rubrics in that single rubric without duplication the common remedies.

Thank you for video, Shilpa. I have a patient with Crohn's disease who claims that nothing happened as such before she became ill 20 years ago. Apart from fear of dogs, claustraphobia, and fear of darkness, there is not much of a mind body connection which makes it challenging to repetorise, having to use general symptoms. Even the pathological symptoms are nothing more than diahorrea and anemia. This is an illustration of how patients never conform to the perfect symptom presentation that you hope for! Still, lots of good material here to try out when the next patient comes along. Prasanna

Thanks Prasanna,
You are right.
Only Stage 3 patients will show you that mind body connection. So the above method is only applicable for them.
I generally encourage my students to use the Startup strategy at Stage 1 or 2 when you do not have that information.
You will find plenty of such examples in my trainings. Enjoy.