Responce to Cecilia Lee

[Guest guest]

Hello Cecilia,

 

I'm happy to share more detail.

 

This patient is a 59 yr.old female, a paralegal professional, approx. 5'6''

instature, and weighing approx. 200 lbs.

She is slightly hunched over. Her facial complexion is slightly pale with

some redness around the cheek bones. It is somewhat difficult to judge her

sheen as she wears make-up. She ventures from a giggly restless demeanor to

tears to worry. [she becomes panicky if she does not feel the needle

sensation, and often remarks, " am I numb? " ]

 

[Note: I practice a style of acupuncture where I use relatively thin

needles, generally of a diameter of .18 mm and have been taught that it is

crucial for me the practitioner to feel " De Qi " and not necessarily the

patient. In this regard, the needling technique is similar to that of many

Japanese styles.]

 

I will look at her tongue when she returns.

 

She has no remarkable odor.

 

The patient experiences sporadic cold sweats, usually at night but also

sometimes during the day. She reports that sometimes her feet get cold,

although she more frequently complains of numbness. Her appetite varies.

Sometimes she binges. Her bowel movements are normal in that she defecates

daily, however she desribes them as foul-smelling. She complains of chronic

pain, esp. in the lower legs (which are quite swollen) esp., in the medial

ankle along the Kidney meridian (K.3 - K.6) , lower back, middle back,

neck, and an area along the Lung meridian (right side only) proximal to Lu.7

and distal to Lu.6) The skin tone of her body is slightly dry. She reports

that occasionally she has difficulty falling asleep, but once asleep she

does not wake till morning. She is always tired.

 

Besides the swelling in her ankles, she is bloated in the abdomen, which

generally has the feel of " jello " . There is tightness and constriction and

occasional pain at CV 13, and in the upper right hypochondriac region as

well in the lower left quadrant. The lower abdominal region is empty and

deficient esp. at CV 6.

 

I assume that there is a fair amount of scar tissue in the chest region as

she has undergone bilateral mastectomy, but I have not examined this area

and have referred her to a female massage therapist.

 

She does not menstruate as she has had a hysterectomy. She is taking

Premarin.

 

When she first appeared, this patient complained of severe fatigue, brain

fog or spaciness, nausea, weight gain, water retention, cold sweats, chest

constriction, a feeling of a lump in her throat and difficulty swallowing, a

sensation of arrhythmia, and emotional instability and chronic pain as

depicted above.

 

Besides the history of cancer and hypothyroidism (for she prescribed

Synthroid), she has a history of epilepsy which is controlled by medication.

 

I have unfortunately already [overly] described her radial pulses.

 

That's fundamentally it. I have noted my current daignosis and treatment

strategies at message 1286.

 

I hope that this information is adequate.

 

I have received some suggestions at my personal email address and am

grateful. [i try to respond to those personally.]

 

Thank you for your consideration.

 

luke