[Ada Sobieszczuk]

Thank you Monica.
Thank you for putting the pieces together.
I think we once talked about her mother’s passing. Skimming the surface perhaps. There might be is guilt because she felt a sense of relief at the time.
When she comes into clinic she often has a flushed face – like a guilty/ashamed look – like someone put the blame on her for something. But it’s also the same look when my toddler sneaked some choclate under the table, hiding, and then got found. That red flushed face.
I can’t quite put my finger on it.
Looks like it’s time to get stuck into that Divergents chapter. 🤔
Yes will keep you updated.
Thank you again,
Ada

[Ada Sobieszczuk]

Hi Armin,
Thank you so much for reflecting on this case.

I just saw E.

Today Taiyang sinew pulses were most predominant. (I could feel Yang Qiao on both sides also)

I started with DU4 and DU14 guasha.
Her feet was cold, but not freezing blue as last time.

Her pulses were juicy.

I asked if she’d been feeling thirsty, following up on your suggestion that the foot soak herbs might be too dry. Her reply was that she’d been drinking heaps of water. Because she had a UTI.
She hadn’t mentioned this before.
She said she gets them all the time. Maybe for the last 2 years.
She has to stagger having relations with her husband to at least a week apart otherwise the UTI always flares up.
She said she started getting them after the GI antibiotic therapy she went through.

I started setting up the Taiyang Sinew leg treatment.
And lo-and-behold there were heaps of Luo vessels along the BL on both legs, mostly the right, on Feiyang, Weizhong, and all along the back of the legs.
I did the sinew treatment.
Then did a full BL empty treatment.

Then Tuina just on her feet because technically that’s what she booked in for.

So now there is this UTI pathology to fit into the puzzle?

She is going back to her podiatrist now, so will have to wait and see if she books in again.

Thanks again Armin,
Ada

[Ada Sobieszczuk]

So E came in for her treatments.
She’d just been to the rheumatologist.

I felt a Yang Qiao mai pulse, and needled accordingly and went to do Tuina on her feet.

Her feet are like her back was. I feel a strong tight pulling in the muscles on the soles of the feet, inner line from the heel to the ball of the foot, pulling contracting, like a cork screw, and her feet were freezing and bluish. The pulling travels up the back of the calf. All very taiyin. Same (but very slightly different) on both sides.

I sent her home with some Sichuan peppercorn + mugwort foot soaks to do daily.

Where does this tugging-pulling-coiling in come from? Is it ‘just’ cold?
It’s completely stopped her in her tracks.
There is constant pain, maybe 4 out of 10. But as she starts walking, it escalates quickly to a 9. Walking round the supermarket is completely out of the question.
At home she’s confined herself to one room too.

Let’s see how this unfolds.

(I also felt shaoyang and taiyang sinew pulses. How can you do sinew treatment when the patient is freezing?)

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