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How to become a Homeopath

11/17/2014

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Considering a career in Homeopathics?

What does a homeopath do?

Homoeopathy is a system of medicine that focuses on the cause of the symptom and not just the alleviation of the symptom alone. Finding the root cause of a patients discomfort is often much more complicated than simply prescribing a medication to palliate/supress the patient’s discomfort. If you treat the cause of the pain/discomfort, then we bring about cure. Homeopaths uses a system of medicine based on ‘likes cures likes’, which means, we take down a careful case history, establish the possible cause of disease, and the prescribe a medicine based on the symptom picture as described by the patient. If a remedy can cause these symptoms in an otherwise healthy person, then it can cure those same symptoms in an individual suffering from that same symptom picture. We also focus on diet, lifestyle and nutritional supplementation to bring an individual back to health.

Why did you become a Homoeopath?


I always knew I wanted to be a doctor. When I was a child, I was very sickly and it was homeopathy that finally treated me as a whole and gave me back my quality of life. So when it came time to choose between an allopathic vs homeopathic career path, the decision was obvious. Homoeopaths qualify as primary health care physicians registered with the AHPCSA, so although we cannot prescribe allopathic scheduled medication, we can diagnose (physical exam, blood tests, X-rays etc) and treat using a natural system of medicine.

What and where did you study?

M.Tech (HOM) UJ. This is masters degree at the University of Johannesburg. It takes 5 years to complete your masters in Homeopathy, after which you need to complete your clinical hours and research as partial fulfilment of your masters degree. Your subjects include everything from basic science to anatomy, physiology, pathology, diagnostics and homeopathic pharmaceuticals to name a few.

One you have your degree in Homoeopathy, do you need any further studying?

Yes, as part of continuous research and development, we have to attend regular courses in various medical fields to obtain CPD points. To continue practicing, you need to obtain a certain amount of CPD points per year.

Which subjects should you take at school if you want to follow this career path?

As with any science degree, maths and science is a must, with biology being a beneficial optional extra.

What challenges do you face?

Homeopathy is very often belittled by mainstream medicine because of the dilution and potentiation of our medications. Scientists feels our medicines is not scientifically proven effective, and often years of clinical success is scrutinised despite testimonials from patients whom had tried every other system of medicine without success. Often we are not recognised as ‘real’ doctors, which can be very frustrating seeing as we are qualified primary health care professionals. The only difference really is that we spend a significant amount of time(up to one hour for a new patient) with our patients to establish a complete picture and a true diagnosis based on the root of the cause, while our treatment is aimed at bringing about cure, and not just treating symptomatically.

What do you enjoy most about what you do?

Changing lives, bringing about cure. When a patient thanks you for changing their lives…now that makes it all worth it.

Is it easy to find work as a Homeopath?

Yes, there are very few opportunities to locum once qualified. So going into private practice is often your only career path once you qualify.

What misconceptions are there about the industry?

One of my patients calls me her white witch doctor. When we cure a patient thought to be incurable, there is often an airy fairy association with what we do. The fact is that we study all the necessary subjects to qualify as a primary health care physician, we register as such, and we practice as such. The only difference is the way in which we approach patients. A simple example would be a patient with severe Crohn’s disease (an inflammatory bowel disease which causes bloody diarrhoea and massive malabsorption issues), is said to be incurable, a Gastroenterologist / GP would aim to minimize symptoms with pharmaceutical drugs. Homeopaths would aim to treat the symptom picture homoeopathically (using a remedy picture that is identical to the patients presenting case) while simultaneously treating the gut in order to reverse the damage which might have led to the Crohn’s disease being triggered in the first place, by focusing on diet, lifestyle and supplementation. 

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nappy rash

9/16/2014

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treatment of diaper rash
Baby with nappy rash
nappy rash treatment
Baby without nappy rash

Which one is your child?   
By Dr. Marlo Swanepoel

The topic of this month’s article was a complete surprise.  After a consultation room full of crying babies and desperate mommies, I decided to share some knowledge I gained while conducting and writing my thesis as a student.  The topic TREATMENT OF NAPPY RASH.

Why Nappy rash you may ask. Well I am proud to say that I conducted a pilot (first) study on alternative, more specific homeopathic, treatment for Nappy Rash (NR).  My study yielded positive results and was published in the Journal Health SA Gesondheid (Read: Health).  Follow the link should you wish to read it http://www.hsag.co.za/index.php/HSAG/article/view/680. 
In the past few months I was bombarded by mommies desperate to find some solution to this common daily problem their baby had to face.

What is Nappy Rash?

The medical word for NR is known as Diaper Dermatitis.  Diaper meaning Nappy and “derma” skin and “-itis” inflammation, which is exactly what NR is, inflammation of the skin restricted to area covered by a nappy (1).  Nappy Rash is the most common skin complaint in babies and toddlers, estimated at 7% to 35%.  It is nearly impossible to determine the exact prevalence as many cases are treated at home. Others however are so severe that medical intervention is required (2,3).

What does Nappy Rash look like?

There are many different presentations of a Nappy Rash. The most common description is a red, flat, itchy and painful rash restricted to only the area covered by the nappy (diaper).  In some cases the rash may be more severe presenting with pimples and pus like eruptions.  It can become so severe that the skin may be broken forming an ulcer (2,3,4).  In many cases this rash may become infected with bacteria such as Staphylococcus spp. or Streptococcus spp., or fungi such as Candida albicans (5). Many studies showed that up to 77% of cases will within the first three days of having a Nappy Rash  be infected by the above mentioned organisms (6).

What causes Nappy Rash?

Nappy Rash is primarily caused due to the prolonged exposure to faeces and urine as well as the environment present within the diaper.  Although diaper technology has improved in recent years, resulting in a decrease in both incidence and severity of Nappy Rash, this condition remains a common problem (5). Things like: ammonia levels, friction, skin dampness (influenced by the type of diaper), pH level, enzymes contained in the urine and stool, micro-organisms (bacteria, fungus), diet (which has an effect on the alkaline levels), and skin maturation all affect the permeability of the skin resulting in an immune response which leads to inflammation which is what we will see as a rash (1,7). 

There are mainly three types of Nappy Rash: 
  • Primary irritant diaper dermatitis, 
  • Allergic contact diaper dermatitis and 
  • Candida diaper dermatitis; all of which leads to the red painful rash we all dread (8).

What you can do to prevent or treat NR?

Due to the numerous causes of NR one must try to avoid contact with the most common causative agents. The golden rule is prevention is better than cure.
  1. Nappies should be changed directly after every stool or urine passed 
  2. Time spent out of a nappy should be increased
  3. Harsh chemicals or irritants such as: wet wipes, perfumes and soap should be avoided
  4. Only tepid water and cotton wool must be used to clean the nappy area 
  5. Disposable nappies should be used instead of cotton nappies unless sensitivity or allergies towards the nappies are present (6,9,10). 

Moisture barrier creams, which have been shown to decrease water loss from the skin as well as  improving skin conditions in some patients may be applied . 

Topical creams used for Nappy Rash usually contain one or more of the following ingredients:  zinc oxide, petrolatum or dimethicone (a silicone based polymer) (4,9). Creams containing petrolatum, mineral oil, mineral wax and wool wax (lanolin), have also been shown to decrease loss of water, reduce inflammation and lower skin colonisation (bacterial or fungal growth) (2,4,10). Anti-bacterial, anti-fungal or Corticosteroid creams are prescribed for persistent NR to reduce inflammation and prevent secondary infections. However adverse effects such as thinning of the skin and adrenal axis suppression are risks (8,10) thus these should be avoided as long as possible.

In my experience protecting the skin by creating a barrier with things like lanolin, caster oil with zinc oxide mixture, bees wax, milking cream or Happy Nappy Cream (formulated by me) will be sufficient. Some paediatric nurses recommend using Mazina in a paste or the slimy water from oats (make sure it is cold when applied). I have to say even though I will only be a daddy in January 2015 I have been motivated to do my research due to my brothers and sisters having a total of 9 children and these tips I have witnessed as effective.

TOP 5 take away points

1.      Change the nappy regularly

2.      Keep the skin dry by allowing your baby to spent time without a nappy. Be careful of using baby powder as the fine dust can be inhaled by the baby and cause respiratory issues

3.      Avoid harsh chemicals or irritants such as: perfumed wet wipes, perfumes, soap and creams containing parabens

4.      Use tepid water and a cloth or cotton wool to clean the nappy area

5.      Apply a cream or ointment to create a protective barrier against urine and faeces, but be sure to wash your babies bum.

Referece

1.      Fölster-Holst, Buchner & Proksch 2011

2.      Wolf, R., Wolf, D., Tüzün, B. and Tüzün, Y. (2000). Diaper Dermatitis. Clinics in Dermatology, 18:657-660.

3.      Barkin, M.B. and Rosen, P. (2003). Emergency Pediatrics A Guide to Ambulatory Care. Pennsylvania: Mosby. Pp588-589.

4.      Visscher, M.O., and Hoath, S.B. (2006). Diaper Dermatitis. In Irritant Dermatitis. Edited by Chew, A., Maibach, H.I. New York: Springer, pp 37-51

5.      Fernandes, J.D., Machadoll, M.C.R. and de Oliveirall, Z.N.P. (2009). Clinical Presentation and Treatment of Diaper Dermatitis – Part II. Anais Brasileiros de Dermatologia, 84(1).

6.      Concannon, P., Gisoldi, E., Phillips, S. and Grossman, R. (2001). Diaper dermatitis: A Therapeutic Dilemma. Results of a Double-Blind Placebo Controlled Trial of Miconazole Nitrate 0.25%. Pediatric Dermatology, 18: 149-155.

7.      De wet, P.M., Rode, H., van Dyk, A. and Millar, A.J.W. (1999). Perianal candidos in a comparative study with mupirocin and nystatin. International Journal of Dermatology, 38: 618-622

8.      Wahrman, J.E., and Honig, P.J. (2000). Clinical Features and Differential Diagnosis. In Textbook of Pediatric Dermatology. Volume 1. Edited by Harper, J., Oranje, A., and Prose, N. London: Blackwell Science Ltd, pp 58-

9.      Scheinfeld, N. (2005). Diaper Dermatitis: A Review and Brief Survey of Eruptions of the Diaper Area.  American Journal of Clinical Dermatology, 6(5): 273-281.

10.  Friedlander, S.F., Eichenfield, L.F., Leyden, J., Shu, J. and Spellman, M.C. (2009).  Diaper Dermatitis: Appropriate Evaluation & Optimal Management Strategies. Contemporary Pediatrics, April: 1-13.

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    Authors

    Dr. Marike de Klerk
    ​Dr. Swanepoel 
    (Homeopath)
    Sister Alida 
    (Registered Nurse)

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