Babbles and bubble: a case a Cerium carbonicum
by Gerda Waalwijk
First consultation: Â January 27, 2012
A mother is worried about her little four-year-old boy because he does not talk at all. âHe is not quiet, but just not able to form words. I took him to the doctor because I thought he might be tongue-tied, but that is not the case. He is now referred to a speech therapist and is on a waiting list. He uses his voice but only âbabblesâ, not forming coherent words or sentences at all; just gibberish. He has a strong voice and is a remarkable good singer. He loves to sing and has a good mouth for it.â (He has a really big mouth cavity.) He is the third child of five children (three boys, two girls).
Gerda Waalwijk (GW): How is his hearing?
Mother (M): âHis hearing is good.â Â
GW: Tell me about his personality?
M: âHe keeps very much to himself. He is a happy, content little fellow who likes to play by himself. He loves to play with his cars and has a funny habit of putting his cars all in a line. He can get upset when his siblings interfere in his play. He is extremely intelligent and his eyes âsoak upâ everything. He seems to learn internally. When he got his bike, he didnât get on it but observed his brothers. Then, after a while, he got on it and cycled away.â
GW: How does it affect him? How does he communicate?
M: âHe can get really frustrated if we donât understand him. He wants to communicate and he does try. I teach him things even though it is a handicap that he cannot talk, but he learns anyway. He knows his numbers, letters, colours and shapes already since a very young age, but cannot say them. He is good at puzzles, even making 100 piece ones. He has a fantastic memory. He puts his Lego projects together without using the plan. He loves learning and has a good concentration. He loves games like board games.â
GW: Tell me about his birth?
M: âGood. He has always had an extremely big head. Both the G.P. and I thought for a while he had encephalitis. But everything was ok.â He still has a massive skull, (55 cm). He has heavy bones, he is not obese but heavy, right from birth. He started walking late.â
GW: How is his sleep?
M: âHe is a very good sleeper; he loves his bed. When tired, he puts himself to bed. He is hot in bed, with lots of perspiration. He drinks a lot, especially cider vinegar with honey. He doesnât get any juices or soft drinks.â
GW: How about his food?
M: âHe loves food, and likes sweet, especially ice cream. He has always been a very tidy eater; he ate with a spoon by himself at age two and didnât want to be fed.
âHe prefers to do things by himself: likes to dress himself or to solve problems himself before accepting help. He is very patient in that area. He can be extremely stubborn.â
Medical history
Generally good health. Hearing good, no ear problems. Had chicken pox. âWhen sick he is extremely easy. He just sleeps!â Broke his right wrist a year ago after a fall. Has been vaccinated. Is not potty-trained yet.
Family history
Lots of auto-immune diseases in the family on motherâs side (mother, grandmother, great-grandmother) and diabetes on the fatherâs side (grandfather). Cancer on both sides.
GW: Any Fears?
M: âNo noticeable fears. Not a very stressed child at all.â
Analysis
The speech problem, which is the centre of the case, does not seem to be caused by any physical impairment but probably by a slow development of speech faculty. Slowness is also a characteristic symptom in other aspects of the case. He is slow moving (during the consultation, he just sits there and observes me constantly, slowly moving his little car over the floor) and was a late walker, not potty-trained, etc. The slowness, the stubbornness, the need for sleep, the love of food and the stocky, heavy, build of this child with his unusually large head all point towards Calcium carbonicum.
Prescription: Calcium carbonicum 200C, one dose
Follow-up: 24 February 2012
M: âThere is no change in the situation. He still doesnât say a single comprehensible word.â She wonders if he might be autistic. Â âIt is as if he lives in his own world, as if he cannot get out of it. It is as if his lack of communication isolates him from the rest of the world. It frustrates him. He takes in a lot of information but he cannot share this information with the outside world. I try to teach him how to pronounce words but he becomes terribly frustrated and doesnât even want to try. It is as if he wants us to understand his language instead of him learning our language.â
When I ask if his speech therapy has already started, the mother says that she is not certain whether speech therapy would be good for her son. She thinks that it might make things worse: âHe might withdraw even more into his own world.â
GW: How is he with other people?
M: âFine, he loves the company of other people and other children around him. He is not really shy, but is inclined to wait for other people to come to him. He can be a bit apprehensive with strangers and keeps his distance.â
GW: How is his digestive system?
M: âGood, he can be quite constipated at times and now that we are potty training him, he tends to hold his stool until I put him in a nappy when we go out or when he goes to bed. He produces huge stools and large quantities of urine. He is a very good drinker.â
During the whole follow-up the boy quietly plays with his toys. I notice that he softly âtalksâ to his toys and he âtalksâ as if his toys talk back to him (single person conversation). I ask him a few questions and he answers me reluctantly in his own incomprehensible language. Â
Analysis
When the mother said: âIt is as if he lives in his own world, as if he cannot get out of it. It is as if his lack of communication isolates him from the rest of the world. It frustrates him,â I realise that the remedy needed may be Cerium (a Lanthanide); people needing this remedy live very much in their own world, their cocoon. His lack of speech prevents him from connecting with the world. He is isolated and that frustrates him. Going back over the consultation notes, I find indeed more confirmation that a Lanthanide, and particularly Cerium, might be the right remedy: he is very independent and highly intelligent. He wants to do everything himself and in his own way. This is a strong indication for a Lanthanide. The family history of auto-immune disease also points to a Lanthanide. Cerium is also recognised in the little boyâs internal learning, his way of observing others, then doing, as with his bicycle. I chose carbonicum because of his build and the fact that he broke an arm despite having such heavy bones.
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Prescription: Cerium carbonicum 200, single dose
Follow-up phone call 7 March 2012
Two weeks after the follow-up, I get a phone call: âHiâŠ.I am going in the van⊠we are going to the zoo.â At this point, his mother takes over and says: âI donât know where he got that âwe are going to the zooâ from, but he has finally started to talk. It started gradually and initially I didnât notice it because the words were hidden in his âown languageâ but suddenly, I picked up words like âcarâ and âdadâ. Itâs very exciting. He is also potty-trained now.â
His father went on a business trip for a week and when he got back, he was amazed at the difference.
Follow-up 13 April 2012
He comes over with his mother and his usual toys; his cars and his cuddle toy. As usual, I ask him how he is and to show me his toys. This time, however, he answers me and tells me the name of his cuddle toy in his own language (ngu-ngu, thatâs how it sounded) but says âthese are my carsâ in plain English. His mother says that he is improving daily, adding new words all the time and forming comprehensible sentences. He still has difficulty saying the names of his siblings and he pronounces words like âfiveâ as âfiseâ. She can now correct him and he tries hard without getting frustrated. He tries to find ways to be able to pronounce words himself by breaking them up. For example he cannot say âfiveâ but solves that by breaking it up into two syllables âfi- veâ when corrected. His mother says: âHe is really coming out of his shell and he can express himself a lot better. He is enjoying the fact that we can understand him now. I have cancelled the speech therapy.â
Keywords: speech therapy, auto-immune, stubborn, slow development, isolation, lanthanide, independent, intelligent
Remedies: Calcium carbonicum, Cerium carbonicum.