I had my most extreme (negative) reaction to a Sa’am treatment today so thought I would write it up. I know where I went wrong (it is obvious), but thought it might be helpful to others. Would also love your thoughts for moving forward.
22 year old female, extremely thin, very pale skin, bright sparkly eyes, very polite, easy eye contact, soft voice. She expressed that she is very hard on herself - pushes herself very hard.
Chief complaint = diagnosis of POTS manifesting with nausea and dizziness all the time. Fatigued all the time. Somnolence. Nausea worse after she eats. Not much appetite. Postural dizziness.
Easy SOB, palpitations, and easy lightheadedness.
Light sensitivity - does not like full sun.
Periods = terrible cramps, slightly better with heat. “Blinding pain” first day. Dark old looking clots. 2-3 days of bleeding - typically moderate flow for 1-2 days and then light flow for 1-2 days. Generally 28 day cycles but past 3 months have been about 40 days. All symptoms worsen with period and stress.
On and off constipation. Some weeks 1 BM / day and then others 3 BMs / week.
Always cold. First appt she wore two sweaters under winter coat (we live north of Chicago).
Acne and eczema - bubbly dry itchy on LI channel of both arms by wrists. Dermatagraphism - hives from touch. Skin issues don’t seem to be related to period. Acne best right before period.
Sweaty hands. No noticeable dry / damp rest of body.
T= reddish (not dark, not bright, but also not pink), pancake flat, slight quiver, full subs
P= deep, thin, floating cun both sides,
Abdominal palpation = tight rectus and tension above navel, pt noted that above navel and both R and L were painful on palpation.
First Sa’am tx =
Reaction: Pt noted that she has not been as cold. Nausea and dizziness not as severe. BMs were better for about 5 days. CD33 - still no period - fullness in lower abdomen but no pain.
Pt got period night of last tx - 33 day cycle. Not severe cramps, no nausea / vomiting. Dark clots - almost black blood. 4 days of bleeding - last two days were very light.
Pt noted that her itching worst at night - 8pm and later. Does not wake her up once she is asleep. Energy has improved - not as fatigued.
Hot flashes around period in Dec and Jan - worst around 8pm.
Pt noted that she has not been as cold (she wore only long sleeved shirt under coat).
Nausea and dizziness ok. Postural dizziness ok.
BMs somewhat better - 1x / day but small pebble stool / incomplete feeling.
Pt noted that during / after her period she feels depleted.
I left her about 20 minutes. She was fine when I walked out of room - all felt ok. When I walked back in she was visibly agitated, said she felt nauseous and shaky and had to go to the bathroom.
I quickly pulled the needles and she ran to bathroom. When she came back I asked her if I could do something to try to help and she agreed and laid back on the table. I quickly put in SJ+ on R side.
She was shaky and told me that it felt like “things were moving too fast”, but she was happy because she had the first good BM in awhile.
I stayed in the room with her and kept asking her how she was feeling. She was visibly more settled, and her pulse seemed more even, but she said she still felt like things were moving too fast in her chest and lower abdomen.
I added PC+ on the L side and left the SJ+ on the R. After a few minutes I asked how she was and she reported better but still felt a little anxious.
I pulled the ®SJ+ and left the (L)PC+. Within a couple minutes she felt better so I left her with those for about 7 more minutes. She looked and said she felt very calm when I returned.
Clearly I went too hard on the LV, but I thought it was interesting that over-tonification resulted in a “things moving too fast” feeling. I would have thought that would happen with mis-treatment with SJ or GB but not LV. Any thoughts for how I should move forward with her?