Case study with Thomas (Jan 8)

Responses

1. 

   Thomas January 6, 2025

   Good Morning Everyone,
   Here is the case for this Wednesday. This case was presented just over a year ago but there is some follow-up, so we will look at it again from the start.
   Gender: female
   Age: 26
   Height: 155 cm
   Weight: 68 kg
   Ethnicity: white
   Occupation: office work
   Chief complaint: diagnosed uterine fibroids
   Symptoms: excessive menstrual bleeding, break-through bleeding, extreme pain prior to and during menstruation
   Brief history: Patient has been suffering from extreme pain and sometime embarrassing situations due to extreme bleeding. Frequently needs to take time off work. Wants to get pregnant but needs to resolve current health issues.
   Diet and Lifestyle: Diet is fair, lots of carbs and sugar, some junk food. Usually skips breakfast or has a pastry and coffee. Does not get any regular exercise.
   Sleep: fair; generally, wakes very tired/groggy; sometimes has difficulty falling asleep.
   Energy: low energy
   Appetite: appetite swings between ravenous and no hunger at all
   Stool: 3+X every day, pre-menstrual diarrhea or constipation
   Thirst: doesn’t really drink water; sips on a soft-drink with lots of ice most of the day
   Urine: 8-10X day, sometimes much more, clear to yellow, often has odor
   Basic observations: Patient is over-weight, consumes excessive sugar, does not consume many veggies, and gets no exercise. Facial complexion pale and flesh very soft and doughy. Hand and feet cold (as observed on the table at the time of applying acupuncture/moxibustion).
   Pulse: thin, slippery, and slightly rapid
   Tongue: pale, swollen, thick greasy coating