Using Intercurrents in Practice
Inspiration from Supervision.
When I was invited to take up clinical supervision at the student clinic at a college in Sydney at the start of this term, I was in two minds. As much as I have thoroughly enjoyed being a clinical supervisor in the past,over the last few years I have been happily occupied with my private clients, students and online educational activities. Hence before I committed I wanted to ensure I could give this role adequate time and full justice as I have in the past.
Now looking back at the end of the term, I am so glad I took on the role. Nothing can compare the excitement and challenges of supervising and training students in real clinical practice.
We had an extremely busy clinic day each week so I was constantly shuffling between rooms keeping an eye on multiple cases being taken by students in different rooms all at the same time. I found myself multitasking and changing hats between being a practitioner,trainer,coach as well as a teacher. At the end of the day it was an exhausting, exhilarating as well as a humbling experience.
But I must say that it was all worthwhile as I was sharing this with a team of wonderfully talented students.
I guess the part that I personally enjoy in supervision is ability to talk beyond theory and books. To be able to share practical hints, tips and ways of adapting and modifying traditional approaches and resources at different stages to suit the needs of the patients and creating an outcome for them.
All this has inspired me today to share one such practical approach that I frequently use in many cases quite successfully. Hence it is no surprise that I personally learnt this approach outside of the class room. It is an approach of selective use of specific nosodes as intercurrent remedies before or during a chronic case management at Stage 3.
Even to this day when I speak with colleagues from my college hospital and share experiences, it is one of the most frequently used approach to complement a constitutional prescription.
Using Nosodes as Intercurrents
Nosodes can be used as constitutional remedies or sensation remedies at higher stages to match the whole patient like any other homoeopathic remedy in our materia medica. However I have seen them being used extremely successfully as intercurrents by many experienced practitioners in two specific situations as follows -
1) As Antimiasmatic remedies based on predominant miasm - When there are lack of peculiar symptoms in a case eg in one sided diseases or when well indicated remedies do not act during the course of a chronic treatment. This is related to the Kentian Miasmatic Understanding.
2) As Isopathic remedies based on “Never Well Since Syndrome (NSW)” - When a client has been NWS an exposure to a specific acute disease causing agent ( This is related to Hahnemann's miasmatic understanding)
For me using nosodes in such situations to either open a case or boost the progression of a slowly progressing case has been immensely helpful in innumerable cases. I prefer using this to an ill indicated Stage 1 remedy based on disease specific symptoms.
( For more information on stages and miasmatic understanding in practice refer to my second book - The Quest for Simillimum - Miasm and Stages. The first book is free and can be downloaded from the left side of this blog)
I am sure there is a lot of literature available to explain how and why this approach works and many wonderful books have been written on the subject. However my intention for today's blog is twofold. First to acknowledge this simple but extremely powerful approach and secondly to emphasize the role of secondary prescriptions after this nosode.
I want to share a case from my student clinic this term to understand this process.
Click on this video to watch the case unfold.
For me this is just the beginning of her journey and no doubt there will be other remedies along the way. But the intercurrent remedy in the form of the nosode was a vital link in her journey. And as practitioners we are so priviledged and thankful to have patients like her who have the trust and the willingness to continue their journey with us so we can all learn through the process.
Hope this helps you use this tool in similar cases within your practice. Let me know your own experiences and inputs below.
As always, success is all about being open to different approaches, using the ones that work and eliminating the rest.