When You Cannot Fight The Pain, Enjoy It

Mr. A. A. K., 29 years consulted me in February 2007 for lumbar disc prolapse. The patient had been advised surgical operation for the same by his orthopedic. He could not move, walk, run, play or drive around easily.

At that time, I understood him holistically through the case witnessing process.

(NOTE: The case has been edited for brevity. Peculiar sentences are highlighted in italics or bold. My explanations are in plain brackets ( ). Follow ups have been summarized.)

PASSIVE CASE WITNESSING PROCESS

D: Tell me what is happening with you.

P: I have a back pain for past 9 years. For past 3 months it was severe. For past 3 months I'm not in a position to bend, not move more than my...I can't touch my knees. Earlier it was not so severe and

PAUSE

I cannot sit for a long time with my legs folded. Now I cannot sit on ground for past few months.

PAUSE

That's it.

D: What else? Go on; tell more about it to understand.

P: My pain is on the backside (touches and shows) and it carries to the hip bone not further beyond. I cannot strain my left leg and if I put my weight on left leg then it starts paining, then I have to.... I put all my weight on my right side and I use left leg just for the support.

PAUSE

D: Go on, tell more about you.

P: I don't have much to say. I have been advised by the doctors for a surgery. I just want to know, is surgery necessary or is there any way we can prevent surgery.

(The patient is giving factual details about his illness. We listen to the patient passively.)

D: So these are the thoughts which are coming in your mind eh..?

P: Yes. I have pain which I want to get rid of. That's it. I guess. See for the past 1 month I'm on leave. Since last 1 month I'm sitting at home, I'm getting frustrated. I mean not frustrated exactly, but it does happen sometime, irritation, because I have nothing else to do except lie down on bed with traction.

PAUSE

Now I have come here with this. If, if there is anything in Homoeopathy which can help me. Otherwise I have no other option left other than surgery. I have consulted almost 4-5 orthopedic surgeons, they have advised for a surgery. And I basically belong to Hyderabad and over there I have consulted Dr. Ramakrishna, he's an orthopedic surgeon there and one Dr. Jairamchandar Pillai. Both of them have advised for a surgery, and here I consulted Dr. Hingorani at Bandra. He suggested Dr. Vinod Agarwal at Lilavati. Even he suggested for a surgery. In fact he said – he would remove my complete disc and put on supporting clamp and it will hold it, fix it permanently and there will be no movement in that particular disc. I have a slip-disc on L5 and S1, herniated. And the only option is surgery. Tractions will not help. There will be time being relief. Again it will start, the hernia, pain will start again. So he said that if you want to get rid of it completely, it is better you go for a surgery, complete surgical removal of disc, straightening will not help. I was advised. My mother-in-law's friend's neighbors told about your clinic.

PAUSE

(The patient is in touch with the factual details and is not going ahead in any area. Even in the area of illness which the patient is in touch with, he is only giving factual details. Thus we now become active to take the patient in different areas and find the focus. Since the patient is in touch with the physical pain, we become active in this area with a general question.)

AT THE END OF PASSIVE WITNESSING PROCESS:

Out of place, out of order:

• I have a back pain for past 9 years

• I have pain which I want to get rid of.

• I'm getting frustrated because I have nothing else to do except lie down on bed with traction.

• Pain will start again.

Focus:

No focus till now.

Patient is unable to give a focus at this stage. Patient being at a local level of facts has not gone in other area except for his chief complaint. Pain is one of the things that came up about 3-4 times though locally. Given the chief complaint, this is very common.

Level of experience:

Facts

Till now patient is giving only factual details.

Alignment between verbal and non verbal: (Esp. hand gestures)

No hand gestures or any non verbal expression coming up.

Experience of the focus:

Patient experiences the focus at a local level. He is yet spoken only about his chief complaint.

How is the patient experiencing the focus?

Patient is in touch with himself. All that the patient is spoken of till now is in relation to his own self.

Potency:

At this stage the potency cannot be fixed as we have yet not got the focus.

ACTIVE CASE WITNESSING PROCESS TO FIND THE FOCUS:

D: So how does it feel with this pain?

P: In fact I enjoy my pain also sometimes. (D laughs followed by P) At times I.... When I start enjoying my pain, I put all my pressure on my left side. (Laughs) It's a mixed feeling inside, both, I enjoy and sometimes I feel... low.

D: I didn't understand this, at times when I'm happy or something, I put more pressure on the left side. I didn't understand that.

P: That increases the pain.

D: Tell about this.

P: If I put my pressure on left side, there is aaaa what you call – a prick. (HG shows the action of pricking) That pain pricks, it pinches. Sometimes when I am in mood to enjoy the pain, I just give a little pressure on it and it starts pricking. (HG)

PAUSE

(This is an extremely peculiar delusion. Here it is not common emotions, he qualifies it, yet being at local level of chief complaint.)

D: I did not understand this explain it?

P: (Smiles) how do you want me to explain?

(The smile and laughter every time we ask about the pain, denotes that it is somewhere touching his centre. Thus we have got the focus and now we proceed towards confirming the focus.)

ACTIVE CASE WITNESSING PROCESS TO CONFIRM THE FOCUS:

D: Describe more about this pain.

P: Sometimes, I don't know if other patients of yours have that, but I have it sometimes, I mean like, if you get a cut on your finger, you press it or something; it's like after-shave or something, it burns, the pain increases. Same thing happens to me and I really want to enjoy the pain because I'm carrying this pain, in fact I'm nursing this pain for past 9 years. Now I'm used to it. (P: laughs)

Sometimes I play with it.

(Here the patient generalizes the focus of pain. This confirms the focus. We now see what patient does with the focus.)

D: I did not understand. Just tell bit more to explain it more.

P: By putting pressure on my left leg, the pain increases. Probably I like that effect that increased pain. Any how I know that I'm not a doctor to reduce it or remove it completely, so why not enjoy it?

D: (laughs) what you exactly mean by increase the pain and enjoying the pain.

P: Enjoying in the sense... (Clears the throat)

(Clearing of the throat, smiling, avoiding talking about it; all comes in relation to the pain. This makes it sure that this is the focus. However it being more at a local level, we don't just become active-active at this stage and wait.)

D: Just tell again more about this, I'm trying to understand you.

P: There is a saying – when you cannot fight them, join them. So when I cannot fight my pain, I start enjoying it.

D: I didn't understand.

P: You have never experienced that if you are sitting for a long time in a position and your feet goes to sleep or your hand, if a particular nerve is pressed for a long time, you don't get blood circulation, that time that part of your body becomes numb, doesn't have any sensation, you get that feeling (HG touching fingers with thumb). When I put pressure on my left leg I get the same kind of feeling. And I don't have words to explain that.

(Patient gives the entire experience of numbness along with the pain.)

D: Little bit more about this feeling of enjoying the pain and this numbness- what you described.

P: It... It was just an example, when any part of your body gets numb, your feet and when you try to stand... You, you must have experienced it in your lifetime once at-least. It's like that kind, not exactly, doesn't numb that person, but if I put pressure on my feet, it increases; pain increases and I enjoy it.

That increase in pain, it gives me enjoyment.

(Here the pain is getting connected with numbness. Focus is pain and enjoying the pain for sure. We also see that here it is not just at physical level. The whole body language shows that it is much deeper an experience. This is the time to become active-active. However, patient is still at a local level. So to get this whole experience at the general and vital level, we need to dissociate the patient. This process will take time as he is experiencing everything at local and fact level to begin with.)

ACTIVE-ACTIVE CASE WITNESSING PROCESS WITH DISSOCIATION

D: 'Enjoyment', now let us not talk about it related to you. In general if you talk about this 'enjoy the pain' what is it? Not related to you.

P: Just 'enjoy the pain'?

PAUSE for 20 seconds

I don't know.

D: Just whatever comes in your mind without inhibition, whatever first comes in your mind, keep talking about it. 'Enjoy the pain'

P: PAUSE

No nothing is coming to my mind.

D: Now whatever comes in your mind about "when you cannot fight pain, join it". Whatever comes in your mind about that phrase, just tell about it.

P: When you are sure that nothing is helping you to reduce the pain, join it

D: Give me 2-3 examples not related to you. Whatever comes to your mind right now?

P: 2-3 examples...

PAUSE

I don't know.

D: Talk about your pain, whatever comes in your mind.

P: That's it. P.A.I.N. (spells it)

(Both laugh)

PAUSE

(We observe that even after Dissociation it is very difficult to go from local to general and vital level. It seems to be too early for dissociation and a thought comes that the patient is not reached that level of experience where he can talk about it. Hence, we take patient to vital sub conscious areas and see what the patient does there.)

D: Can we understand your dreams? I mean if you get. It will be very helpful for me to understand you, know you through your dreams.

P: I don't remember actually what I dream.

(This was expected as patient is at fact level and not expected to be in touch with them.)

D: But since childhood till today 1 or 2 dreams which you remember, which was very significant.

P: Significant!! In what way

D: In general.

P: I had a... an ambition to become a fighter pilot.

D: Fighter pilot, tell about it. It is very important to understand because it was your ambition – so tell about it.

P: I used to play all games, fighter planes in them and once I had a dream that I was flying a fighter plane. That's it. I remember it because it was related to my ambition. That's it. Flying in a super 30.....

D: I don't know much about it. What is it?

P: The planes which Indian arm.... air force use for training the pilots are very old. Sometimes it does happen that engine stops in mid air and the plane will crash. If pilot is lucky enough to eject on time he will survive otherwise he will crash with the plane. (Laughs) they don't stop flying though they know MIG-21 are flying coffins, still they fly.

D: Some other nightmare, some dream?

P: No.

D: I can give you 100 % results, this is my guarantee but I still need to understand what you mean by "increase the pain to enjoy it". Just that thing; not related to you

P: Now this question is making me blank, what to say.

(This shows that the conscious is now over, giving way for the further journey. Now we again dissociate the patient and see what he does.)

D: That is really different, you are enjoying the pain.

P: (Laughs) suffering basically.

(When asked about the pain, patient brings up suffering. This word is for pain itself, but not as human as pain. So we ask about it, this is also one way of dissociating the patient.)

D: Tell about it, whatever comes in your mind about 'suffering'

PAUSE

P: Problems

D: Give me worst imagination of suffering. Whatever first comes to your mind?

P: Poverty,

PAUSE

Ordeal, all diseases

PAUSE

Riots

D: Riots... very good. Whatever comes to your mind, as general as possible

P: Terrorism, riots, poverty, it's kind of pain, suffering.

(Patient now connects terrorism, poverty with pain and suffering. Thus we see that dissociation at the right time actually helps the patient to become more general. Now since the patient is at a more general level, he will be able to describe his whole centre.)

D: 'It's kind of pain, suffering' Tell about it no more to describe, just what you mean by that.

P: PAUSE

All this bomb-blast and shootouts, Hindu-Muslim conflicts; that are the most basic thing in India

D: Which one picture is right now fresh in your mind, which comes again – when you are thinking about this.

P: The Bombay blast – local trains.

D: Tell about it. What about it comes in your mind right now?

P: This in this one, which compartment I don't know. First class I think it was ripped apart, due to that blast as if somebody has torn a page from a book.

All dead bodies lying here and there, people dying, that's suffering for the person who is dead and suffering for the person who is related to the dead person.

D: So in this whole scene, in this whole picture, what are you sensitive to?

(This is to bring him to himself from Dissociations just to see if his level of experience has improved or not. Whole aim of the dissociation is to allow him to talk not related to himself so that, the sub-conscious self can be brought back to surface)

P: I'm sensitive... (Thinks)

Sensitive... I feel sympathy for the people who are crying for their loved ones and if these kinds of things happen I usually imagine myself in their shoes.

(From dissociation he connects the whole phenomena to himself. This scientifically proves that we are on right track.)

D: Tell about this – what you imagine.

P: If I lose someone who is very dear to me in this way, how will I feel? It will be very, very tragic for me to accept the fact that this accident has happened and I have lost someone whom I really love. Makes me feel bad and I curse people who have done this.

(Patient is coming back to his feeling and delusion which is a good sign, now we know that his level of experience has improved from facts to higher level, if we keep him here soon we will reach to his vital sensation. Here the patient also moved from local to general and vital level.)

D: What you imagine? What you have seen?

P: The first sight of the person, the dead person, whom you love. The burnt face or the burnt body, anything.... if accident happens you never know, you might have a broken arm or a leg or might not have head or half body gone. Could be anything....

D: That's it. So how does it feel deep within your body, when you imagine yourself there in such situation?

P: Within my body... It will be that effect, what you say- shock effect from the spine. Like a jerk (GESTURE)

(We can see that patients directly talk about his sensation, this proves that he has touched the sensation Level. He has also connected the whole process with his chief complaint.)

D: Describe the shock

P: Very simple. Hold a negative and a positive and switch it on. Negative and positive wire plugs it in, switch on the current. Give you a shock. (Laughs) Not that exactly but somewhat related to that kind of shock.

(While describing, the patient talks about his sensitivity and the whole reaction to this sensitivity. It looks like a plant at this stage. However we don't remain biased with it and we are being with the patient.)

D: Little bit more. What one will feel with, with that shock, that kind of shock?

PAUSE

P: That's it. (Laughs)

(This is his defense system, now we know that we are close)

D: What's that?

P: It will be like sensation less.

D: Describe that sensation less.

P: There won't be any sensation for the time being.

D: Describe that sensation less.

P: Sensation less means numbness.

(The experience of numbness that was there at the local level in connection with the chief complaint is now coming up at the vital level.)

D: Describe that specifically.

P: Kind of dead, motionless,

PAUSE

No movement, standstill, no response,

PAUSE

There won't be any sense at all, kind of unconscious

D: Describe that 'kind of unconscious.'

P: PAUSE

No feeling, like in Coma.

D: Tell about it I didn't understand what you mean?

P: Alive but not alive

(At local level, pain and its opposite polarity of numbness were coming up. At general and vital level, suffering and its opposite polarity of sensation less, numbness, coma, alive yet dead is coming up. This belongs to the plant kingdom. )

D: What you mean by coma and alive but not alive.

P: Breathing without any activity, slow movement, motionless, stunned.

D: Describe the state of coma a little bit more.

P: Alive but as good as dead, without any feeling.

D: Talk about this little bit 'Alive but as good as dead'

P: Just breathing, that's it

D: What does this reminds you of?

P: What does this remind me of?

PAUSE

Pain

(Here the circle gets completed beautifully.)

ANALYSIS OF THE CASE:

Out of place, out of order in passive:

• I have a back pain for past 9 years
• I have pain which I want to get rid of it.
• I'm getting frustrated because I have nothing else to do except lie down on bed with traction.
• Pain will start again.

Out of place, out of order in active:

• In fact I enjoy my pain also sometimes.
• At times I.... When I start enjoying my pain, I put all my pressure on my left side. (Laughs)
• It's a mixed feeling inside, both, I enjoy and sometimes I feel... low.
• Sometimes when I am in mood to enjoy the pain, I just give a little pressure on it and it starts pricking.
• I really want to enjoy the pain because I'm carrying this pain; in fact I'm nursing this pain for past 9 years. Now I'm used to it. (laughs)
• Sometimes I play with it.
• By putting pressure on my left leg, the pain increases. Probably I like that effect that increased pain.
• When you cannot fight them, join them.
• When I cannot fight my pain, I start enjoying it.
• If a particular nerve is pressed for a long time, you don't get a blood circulation, that time that part of your body becomes numb, doesn't have any sensation, you get that feeling (HG touching fingers with thumb). When I put pressure on my left leg I get the same kind of feeling. And I don't have words to explain that.
• When any part of your body gets numb, your feet and when you try to stand... You, you must have experienced it in your lifetime once at-least. It's like that kind, not exactly, doesn't numb that person, but if I put pressure on my feet, it increases, pain increases and I ...that's how I enjoy it.
• That increase in pain, it gives me enjoyment.

Out of place, out of order in active-active:

• That's it. P.A.I.N. (spells it)
• Sometimes it does happen that engine stops in mid air and the plane will crash. If pilot is lucky enough to eject on time he will survive otherwise he will crash with the plane.
• MIG-21 are flying coffins, still they fly.
• Terrorism, riots, poverty, it's kind of pain, suffering.
• All this bomb-blast and shootouts pause..., Hindu-Muslim conflicts; that are the most basic thing in India
• It was ripped apart, due to that blast as if somebody has torn a page from a book.
• All dead bodies lying here and there, people dying, that's suffering for the person who is dead and suffering for the person who is related to the dead person.
• I feel sympathy for the people who are crying for their loved ones and if these kinds of things happen I usually imagine myself in their shoes.
• The burnt face or the burnt body, anything.... if accident happens you never know, you might have a broken arm or a leg or might not have head or half body gone. Could be anything....
• Within my body... It will be that effect, what you say- shock effect from the spine. (GESTURE)
• Very simple. Hold a negative and a positive and switch it on. Negative and positive wire plugs it in, switch on the current. Give you a shock. (Laughs) Not that exactly but somewhat related to that kind of shock.
• There won't be any sensation for the time being.
• While describing, the patient talks about his sensitivity and the whole reaction to this sensitivity.
• Sensation less means numbness
• Kind of dead.
• That's what motionless, no movement, standstill.
• No response.
• Kind of unconscious.
• No feeling
• Coma.
• Alive but not alive
• At local level, pain and its opposite polarity of numbness were coming up. At general and vital level, suffering and its opposite polarity of sensation less, numbness, coma, alive yet dead is coming up. This belongs to the plant kingdom.

Focus of the case:

The focus from beginning till the end of the case is pain, suffering, numbness, coma like sensation less state.

Pricking pain, as of pressure and everything is coming up only at a local level.

• I have a back pain for past 9 years
• I have pain which I want to get rid of it.
• In fact I enjoy my pain also sometimes.
• I really want to enjoy the pain because I'm carrying this pain; in fact I'm nursing this pain for past 9 years. Now I'm used to it.
• When I cannot fight my pain, I start enjoying it.
• When any part of your body gets numb, your feet and when you try to stand... but if I put pressure on my feet, it increases, pain increases and I ...that's how I enjoy it.
• That increase in pain, it gives me enjoyment.
• That's it. P.A.I.N. (spells it)
• Terrorism, riots, poverty, it's kind of pain, suffering.
• It will be that effect, what you say- shock effect from the spine.
• Kind of unconscious.
• No feeling
• Coma.
• Alive but not alive
• Sensation less means numbness
• Kind of dead.
• That's what motionless, no movement, standstill.
• No response.

Kingdom:

Plant kingdom

Sensitivity to the pain and reaction to the sensitivity

Chief complaint is affecting the patient profoundly.

There is one basic sensation of pain and suffering and its opposite polarity of complete shock, numbness, sensationless.

• I have pain which I want to get rid of it.
• I'm getting frustrated because I have nothing else to do except lie down on bed with traction.
• I enjoy my pain also sometimes.
• When I start enjoying my pain, I put all my pressure on my left side.
• It's a mixed feeling inside, both, I enjoy and sometimes I feel... low.
• By putting pressure on my left leg, the pain increases. Probably I like that effect that increased pain.
• When I cannot fight my pain, I start enjoying it.
• That increase in pain, it gives me enjoyment.
• If a particular nerve is pressed for a long time, you don't get a blood circulation, that time that part of your body becomes numb, doesn't have any sensation, you get that feeling (HG touching fingers with thumb). When I put pressure on my left leg I get the same kind of feeling. And I don't have words to explain that.
• This in this one, which compartment I don't know. First class I think it was ripped apart, due to that blast as if somebody has torn a page from a book.
• All dead bodies lying here and there, people dying, that's suffering for the person who is dead and suffering for the person who is related to the dead person.
• I feel sympathy for the people who are crying for their loved ones and if these kinds of things happen I usually imagine myself in their shoes.
• Within my body... It will be that effect, what you say- shock effect from the spine.
• Some wave kind of thing which will give a shiver in your complete body. The JERK.
• Very simple. Hold a negative and a positive and switch it on. Negative and positive wire plugs it in, switch on the current. Give you a shock. (Laughs) Not that exactly but somewhat related to that kind of shock.
• There won't be any sensation for the time being.
• While describing, the patient talks about his sensitivity and the whole reaction to this sensitivity.
• Sensation less means numbness
• Kind of dead.
• That's what motionless, no movement, standstill.
• No response.
• Kind of unconscious.
• No feeling
• Coma.
• Alive but not alive
• At local level, pain and its opposite polarity of numbness were coming up. At general and vital level, suffering and its opposite polarity of sensation less, numbness, coma, alive yet dead is coming up. This belongs to the plant kingdom.

Family:

Papavaracea

Sensations of Papavaracea:

Pain, intense pain, pain of any sort, intense suffering, punished, war, murdered, shock.

• I enjoy my pain also sometimes.
• I really want to enjoy the pain because I'm carrying this pain; in fact I'm nursing this pain for past 9 years. Now I'm used to it.
• When I cannot fight my pain, I start enjoying it.
• Terrorism, riots, poverty, it's kind of pain, suffering.
• All this bomb-blast and shootouts pause..., Hindu-Muslim conflicts; that are the most basic thing in India.
• All dead bodies lying here and there, people dying, that's suffering for the person who is dead and suffering for the person who is related to the dead person.
• I feel sympathy for the people who are crying for their loved ones and if these kinds of things happen I usually imagine myself in their shoes.
• The burnt face or the burnt body, anything.... if accident happens you never know, you might have a broken arm or a leg or might not have head or half body gone. Could be anything....
• Within my body... It will be that effect, what you say- shock effect from the spine. (GESTURE)
• Some wave kind of thing which will give a shiver in your complete body. The JERK.
• Very simple. Hold a negative and a positive and switch it on. Negative and positive wire plugs it in, switch on the current. Give you a shock. (Laughs) Not that exactly but somewhat related to that kind of shock.
• There won't be any sensation for the time being.
• Sensation less means numbness
• Kind of dead.
• That's what motionless, no movement, standstill.
• No response.
• Kind of unconscious.
• No feeling
• Coma.
• Alive but not alive

Miasm:

Cancer

In this patient there is super human control of the intensity of pain so much so that he starts enjoying it at the highest intensity.

• In fact I enjoy my pain also sometimes.
• At times I.... When I start enjoying my pain, I put all my pressure on my left side. (Laughs)
• It's a mixed feeling inside, both, I enjoy and sometimes I feel... low.
• Sometimes when I am in mood to enjoy the pain, I just give a little pressure on it and it starts pricking.
• I really want to enjoy the pain because I'm carrying this pain; in fact I'm nursing this pain for past 9 years. Now I'm used to it. (P: laughs)
• Sometimes I play with it.
• By putting pressure on my left leg, the pain increases. Probably I like that effect that increased pain.
• When you cannot fight them, join them.
• When I cannot fight my pain, I start enjoying it.
• If I put pressure on my feet, it increases, pain increases and I ...that's how I enjoy it.
• That increase in pain, it gives me enjoyment.
• Sensation less means numbness
• Kind of dead.
• That's what motionless, no movement, standstill.
• No response.

Remedy:

Opium

• In fact I enjoy my pain also sometimes.
• When I cannot fight my pain, I start enjoying it.
• If a particular nerve is pressed for a long time, you don't get a blood circulation, that time that part of your body becomes numb, doesn't have any sensation, you get that feeling (HG touching fingers with thumb). When I put pressure on my left leg I get the same kind of feeling. And I don't have words to explain that.
• When any part of your body gets numb, your feet and when you try to stand... You, you must have experienced it in your lifetime once at-least. It's like that kind, not exactly, doesn't numb that person, but if I put pressure on my feet, it increases, pain increases and I ...that's how I enjoy it.
• That increase in pain, it gives me enjoyment.
• The burnt face or the burnt body, anything.... if accident happens you never know, you might have a broken arm or a leg or might not have head or half body gone. Could be anything....
• Within my body... It will be that effect, what you say- shock effect from the spine. (GESTURE)
• Some wave kind of thing which will give a shiver in your complete body. The JERK.
• Very simple. Hold a negative and a positive and switch it on. Negative and positive wire plugs it in, switch on the current. Give you a shock. (Laughs) Not that exactly but somewhat related to that kind of shock.
• There won't be any sensation for the time being.
• Sensation less means numbness
• Kind of dead.
• That's what motionless, no movement, standstill.
• No response.
• Kind of unconscious.
• No feeling
• Coma.
• Alive but not alive

Potency:

30

The patient was at a local level of facts during the passive. Even after we got the focus, the patient continued to be at the level of facts. This indicates 30th potency.

Final remedy:

OPIUM 30 one dose

Summary of follow-ups:

After 15 days the patient was called for follow up. At that time the patient was not at all better. The pain was the same. Mentally and emotionally his sensitivity towards the pain was the same. Given the severity of the pathology of the patient and also his state, opium 30 was repeated every alternate day.

After 3 months, the pain reduced by 50%. He was able to move little bit in the house. Also his sensitivity towards the pain and his whole state of opium was better. He was much aware about his sensitivity towards pain and suffering. Thus the dose was reduced from alternate day to one dose every week.

In 6 months the pain, stiffness in the back was even more reduced. He could now walk for short distances even outside the house. He was less frustrated and irritated as now he could do most of his activities with least pain or almost no pain. His whole state had diluted further. This time the patient was given placebo.

After 12 months, the patient drove all the way from his native in Hyderabad to Mumbai all by himself. This was something the patient could not even imagine doing. He could do all his activities without pain. He could play his favorite sports like cricket and foot ball which he had not done since a long time. His pain, stiffness in the back, difficulty in moving had reduced totally. His sensitivity to pain and intense suffering had diluted to almost nil. His orthopedics suggested that now there is no need of surgery as he was much better.

LEARNING FROM THE CASE:

In this case we see that how even a fact level patient gets in touch with his holistic sensation with the help of case witnessing process. The use of dissociation technique has been done in this case to take the patient away from his facts regarding the illness. Dissociation done at the wrong time, when the conscious mind was still awake, did not move the patient from local facts. However when the conscious slept, the sub conscious came out effortlessly. This is when the patient smoothly got in touch with his deeper altered self. Also the patient moved from local to general and vital level of imaginations when dissociation was done at the right time. The whole circle of pain, numbness, suffering, coma like state and everything got joined systematically and step by step.