This is a new patient, I saw her yesterday. She is coming in for the next five days, so I have time to work on her.
Personal Note: I have to constantly remind myself not to "Eat all of my meals on Monday morning.
Female: 30, Symetrical and Athletic
About a week ago she started feeling tingling on the L side of face. Went to MD and was told that she had Ramsey Hunt. They couldn’t see anything that was definitive on ear drum, either wax or a nodule. She also has two small bumps on the outer ear that are painful, but the MD thought they could be a pimple. She was given Valtrex and started taking it right away. She developed severe stomach pain, thought it was because of meds on an empty stomach so she ate dinner. During dinner she started to feel her mouth moving funny. She could feel the lower jaw move but the upper jaw was not moving. The side of her face was locked and drooping and her eye wouldn’t close. This happened on Thanksgiving, she continued to get worse up until today. Tuesday Dec 1
Work: Traveling nurse, moved to COVID unit about two weeks ago. This was against her contract and infuriated her. She is treated poorly by management at work, staff are great, her boss is “awful.”. Made her very angry. When she was younger she used to have a hot temper, but now talks out her anger. Doesn’t feel like she buries it, just needs to work it out and process through it.
The night before this all started she drank a bottle of wine, she is not a big drinker, but had a too much.
She went through a bad breakup about a month before this.
She also set the oven on fire the night before this and had to put it out with an extinguisher, was very stressed about this.
Temp fluctuates, has for as long as she can remember.
Hands and feet get cold.
She can go from hot to very cold quickly.
Periods were always heavy flow before she got on birth control. Now they are more regular, but sometimes fluctuate between light and heavy, sometimes clots.
Psychoemotional: The patient frequently feels worrisome and anxious.
Does not feel stress, she works in a high stress job, but doesn’t feel the stress of her work. She has always “just dealt with it”.
Has ST pains that are sharp and come on quickly, only recently. Just before the face started these came on.
Urine: Amount is normal.
Stool: Presentation: normal bowels.
Sleep: behavior: can not enter sleep and not rested after sleep.
Eyes: Dull (4)
TGITR: (10) Face, came in with tape over eye to keep it closed, Entire ST ch of face on L. does not move.
Pulse, middle pos both sides was superficial, rapid and hard.
Other notes: When she mentioned the breakup she started to tear up, she also started to tear up when she discussed the face. When she first called she was told she needed “alot of acupuncture.” So she had called every acupuncturist in town and was shceduled with 6 different acupuncturists over 6 different days and sometimes twice a day. I cleared some space and got her in for 5 straight days and had her cancel the other appoitnments so she could ahve some consistency.
Chs I am considering: GB/PC; BL/Ht; ST/LU
First Sesssion: I started with a GB drain, Full moon was the night before and she kept bringing up how angry she was with the work situation before this started. I typically would not start with a drain, but this seemed gross and she is very robust.
Her pulses immediately calmed down and were even across all positions, she also started to look brighter in the face. Eyes stil dull.
After 15min, I added a SJ+, she immediately said she felt a shift in her face. She got very emotional and said she felt like her face was mvoing better. She said she felt hope for the first time since this started.
However, after the session when she looked at her face in the mirror she said she didn’t see a change in the eye of or the movment in the face.
I see her again today: I am going to se ehow she presents, but today I was thinking of PC or ST/LU.
Any thoughts or suggestions would be helpful.