Tongue-tied since birth: a case of Rana catesbeiana
by Doug Brown
In August of 2012, I was asked by a Haitian-American friend to treat her twelve years old son for excessive shyness. He isolates in his room, and has no friends. Billy (name has been changed), she said, refuses to speak.
She provided additional background information before I met with Billy. When she was three months pregnant, she was involved in a very bad car accident. She believes that âher father-in-law had it in for me, wanted to get me out of the way so that my husband could marry somebody else.â She didnât gain much weight, and birth was by C-section due to placenta previa.
As an infant, Billy was always hungry. He was breastfed for less than a year, and ate everything he was given. He always finished his bottle really fast.
Significant developmental delays occurred with regards to vocalizing and speech. At around two years old, he began acting out, crying, and having âfitsâ. His mother was told that he was acting out of frustration at not being able to vocalize his needs. Because of learning challenges, he was given an individualized learning plan.
Billy had trouble relating to other kids. He did not know how to communicate with them. So, he would just throw stuff at them or just cry. In addition to his speaking problems, he had difficulty eating without bringing foods through his nose.
Another significant developmental delay was in the area of toilet training. He only became independent in this regard at the age of eleven. His mother believes he has a fear of touching himself.
Billy snores during sleep. His mother adds that he as a fear of bugs, ants, bees, butterflies, roaches, even the smallest little fly.
He was born tongue-tied, and had a frenulectomy one year prior to our visit. He doesnât talk to his teachers unless itâs absolutely necessary. When he does speak, his mother says, itâs in a very low tone. âI am always asking him to repeat what he says because I never hear what he says when he talksâ. She then shared a story: âWhen Billy and his sister both had braces put in at the same time last month, his sister came home screaming in pain. She was loud and intolerable because she was crying so much. But Billy never said anything. If I asked Billy if he was hurting, he would say 'no' or 'a little bit'. After a few days, when their father came home, he took a look inside Billyâs mouth, and it seems that the braces had created a lot of ulceration to his gums and cheeks. The point is, if we didnât look inside Billyâs mouth, he would never have told us that he was hurting.â
I asked Billyâs mother about his relationships with other children. She replied that his classmates loved him because heâs âquietâ. âNow, Billy does like to tell me about love triangles in his classroomâŠ.which boy likes which girlâŠbut heâll never talk about who he likes⊠I would like for Billy to learn how to smile, imitate a âhelloâ in the school hallways with his classmates or teachers, look people in the eye when he talks to them, initiate a conversation when he sits with a group of friends, project his voice when he talks, not to be afraid to be silly or sound silly in front of people, sit up straight at the school dinner table (when he eats at a table, he looks as if heâs ready to go hide under the table).â
Billy wants to participate in his schoolâs âSpeech Meetâ (a very competitive speech competition), but he canât even talk. âI had to unregister him out of that activity.â
His mother continued: âBilly has been in the school choir for two years now and he has never opened his mouth to sing even one song at performances. It is so bad that other parents always come to ask me âWhatâs wrong with Billy? Isnât he happy to be in the choir?â And the truth is that he asked me to register him in the Choir club. When I threaten to remove him from the choir, he gets sad and cries!â
Billy craves coffee, and is averse to tomatoes and pickles. He is quite thirsty.
I interviewed Billy over Skype, which was less than ideal, especially considering how impaired his speech was. My strategy was to simply lead as little as possible, and see where Billy would take me.
Initial Interview, 9 August 2012
He said: âI like to write my own stories. Sometimes, I like video games and I draw. I love my dogs. Sometimes, I like to hang out with my friends when I have the time. I play the piano. Iâm leaving. I played basketball for my school, so I kind of like basketball. Iâm good with a soccer ball. I like art. I like to play on my computer. I like the Hunger Games. Thereâs a TV show, NCIS (Naval Criminal Investigative Service). I like to call my friends, text with them.
âI really like the Harry Potter series. I like to play video games with my sister. I would like to be a movie director, writing stories and movies. Sometimes, I like a bike ride. And I like motorcycles. I like to watch t.v. I go to (name of a private school). I like that school. Itâs cool. I have a lot of friends. I like flag football, to play with my friends. I like paintball. I like to read books and comics. I like to go off, out with my family. I like comedy. Play Station 3.â
Doug Brown (DB): What donât you like?
Billy (B): âWhen people fight. When friends argue. When the dogs dig a hole and get out I get upset, but we find them. When my big sister drives. I always hope she drives carefully. I worry about her.
âWhen I had surgery, that made me uncomfortable. I wasnât that scared, but a little scared. Something might go wrong. But nothing went wrong.â
DB: What did you most like about the Hunger Games?
B: âOnly one came out and survived. I liked the action. It attracts the viewerâs attention.
âI like swimming with the manatees. Once I freaked out.. the swimming pool seemed bottomless. I might drown. When the dog got hurt, I worried. What would happen next?
âI dream of friends. Of myself in a t.v. show. I dream I can do anything. I dream of my best friend. He might not come back, I donât know. I might be upset, but it was his choice. I wonât be mad at him. A little bit sad. Heâs not my only best friend.
âIf youâre nice to them, theyâre nice to you. Theyâre funny.
âWhen friends fight, I tell them to âwork it outâ. I get anxious. What would happen next?â
DB: Tell me about life in your family.
B: âThe hardest is when my sisters fight. Sometimes I fight, but not always. I would like to speak backâŠâ
DB: Worst thing?
B: âIf I speak loudly people tell me to âshushâ. Some of my friends are trouble-makers. They speak out of turn. They donât get detention, they might get expelled. I might lose a friend.â
Understanding and disposition
Billy spoke much more than I expected. There were often long pauses between his utterances, but patient, expectant waiting usually elicited further responses. There were frequent non-sequiturs in his spontaneous speech, which gave a random feel to his behavior.
After this consult, I gave Billy Magnesium iodatum 1M, because of his aggravation from quarrels, his isolation, and his large appetite. Iodum, as series 5 (Silver series) halogen, would help to cover the issue of speech. In retrospect, there is much that this remedy doesnât cover, and the reasoning behind choosing âAilments from quarrelsâ as a focus for the case is questionable.
October 16, 2012
Billy says: âMy sister got in a car crash. Making sure she was alright. At first, I was curious if she got hurt. A guy tricked her on getting her money.
âNext Monday is when report cards come out. My math grades went up, but then down. Iâm getting a âCâ. School is getting harder. If I donât handle 6th grade, 7th grade will be even harder.
âIâm frustrated. Learning to deal with it. Iâm curious about the 2nd quarter. I love to play the piano some times. I have a piano lesson each Wednesday. Thereâs this cop called (unintelligible). On Friday, weâre going to my auntâs wedding. Iâm planning on being a movie director or going into the air force.
âI like this book called Maximum Ride. Seven angel kids going on an adventure. The series was pretty good. I like the Avengers (movie). Each character has his own movie. Itâs well put-together. Getting all the actors to do their parts.â
DB: Tell me about going into the Air Force?
B: âFlying planes, flying fighter planes. Transporting people back and forth. Serving the USA. Iâm reading âConfessions of a Murder Suspectâ. Heâs accused of a crime he didnât commit.â
DB: Tell me about situations you donât like?
B:âWhen weâre about to get a test back. Getting report cards. When we put the dogs out. Sometimes, they dig holes.â
DB: What is it about the holes you donât like?
B: âSometimes, snakes or frogs can get in the house or the yard.â
DB: Tell me about frogs?
B: âFrogs are uncomfortable (he becomes animated for the first time). They can jump all over the place. They really freak me out! Theyâre gross. My mother sprinkled something all over to kill all the frogs.â
DB: Gross?
B: âThey carry diseases. You have to wash you hands.â
DB: Anything good about frogs?
B: âThey eat bugs.â
DB: Can you tell me a dream?
B: âA dog was able to talk. It was funny. A tower was falling. I was on top. I had to jump off, or get to the bottom as quickly as I can. I got to safety, or I would have gone splat.â
DB: Whatâs the grossest animal in the whole world?
B: âA lizard. It squirms, crawls. When you cut off its tail, it still moves. Lizards regenerate new tails. No oneâs used to seeing cut off limbs moving around.â
DB: Whatâs grosser, a lizard or a frog?
B: âFrogs are grosser. Lizards are kind of cool.â
Understanding the Case
In this interview, the jumping around, random nature of his speech was even more pronounced. In his first sentences, referring to his sisterâs car crash, a victim-aggressor theme emerged: âA guy tricked her on getting her money.â Recall that in the motherâs history of pregnancy, the significant even was a serious car accident motivated, in her view, by the father-in-lawâs desire for his son to be rid of her.
Given that the main issue for Billy seems to be his ability to speak, the reader may wonder why I did not stay with a remedy from the Periodic Tableâs fifth series, the Silver series. Billyâs surprising ability to vocalize during our interviews revealed that the issue was not his ability to speak per se, but his feelings about speaking up in various social contexts. As he said towards the end of his first consult: âIf I speak loudly people tell me to âshushâ. Some of my friends are trouble-makers. They speak out of turn. They donât get detention, they might get expelled. I might lose a friend.â
Billyâs intense fear and reaction to frogs was the most singular, peculiar, and strange symptom. I considered this aspect of the natural behavior of frogs: there is a dominant male frog (very vocal) and a less passive male type, who comes in a territory and sits next to the dominant male, and waits for the other to vacate.
Then, I considered the nature of his speech. He jumps around in an unpredictable manner⊠much the same way frogs do as part of their survival strategy. Also, considering his motherâs descriptions of his behavior (isolating), much of what he said is patently untrue. So, there is an element of deception, which is characteristic of remedies from reptiles, and probably amphibians. This became flagrant when I asked him which animal he considered most gross⊠lizards or frogs. He seemed to reflexively say lizards at first, but then switched his answer to frogs. Finally, his dream of a dog talking, pointed once again to the centrality of the animal kingdom, and the issue of whether or not it is possible or ok to speak.
Prescription: as I was not able to locate any source for homeopathic bullfrog, I asked his mother to write Rana catesbeiana 1M, to place a glass of 4 oz water over the message, and to leave the water exposed to the writing for at least one hour before giving Billy one tablespoon.
Follow-ups
Two weeks later: Billy appeared happier. His speech was more spontaneous and less random and jumpy. He described a few happy dreams. His mother reported that he was more playful, making more jokes. More significantly, he was isolating less. To his familyâs surprise, he danced at a family wedding. His mother said âthis is a big turnaround for Billy.â
Six weeks later, on December 11th: we met again over Skype. Once again, Billy seemed happy. When I asked him what had most stressed him since we last spoke, he talked about having to present a report to his social studies class. âI was shy, but I did it. I did a good job. I felt relief!â
âWould you say youâre still pretty shy?â I asked.
âI overcame it pretty muchâ, Billy replied.
I spoke to his mother. She affirmed that Billy has been making a lot of progress. He gets moody at times, but it passes. âHeâs opened up more than ever. He socializes more, is more open, and talks more.â In an email she wrote: âI have been quite excited about Billy's progress recently. He really seems to have come out of the shadows. He is laughing out loud more. He jokes around with his sisters and tries to make fun of them (in a good way). Right now, every time Billy says something funny we burst out laughing because we are so not used to hear him say anything at all! He and his sister have been singing popular tunes in his room all afternoon today, he was on his phone talking to his friend today, and he's looking forward to Christmas and his birthday soon. I feel good about Billyâs progress.â
February 12th 2013: âIâm talking a lot. It feels goodâŠ.Iâm hanging out with girls. I had two dreams. In the first dream, I was in this car on a bridge. There was traffic. I wasnât in control of myself, of what I was doing. There was confusion. In the second dream, me and my class went to this camp near an airport. I went to this building to get my bag. It was the same place as in the other dream. But this time, I felt in control. I was calm.â
DB: How do you feel about frogs?
B: âI donât see them much. Iâm not freaked out about them.â
February 16, 2015: more than two years after treatment, I sent a short email to Billyâs mother, asking how he was doing. She writes: âBilly is doing AMAZINGLY well. Thanks for all your help - you did a lot for him.â
Further reflections on Rana catesbeiana
As this prescription was made before any trituration or proving of the substance was made (that I am aware of), it is very interesting to compare the case with Roland Guentherâs trituration also published in this issue. The theme of sexuality, so prominent in the trituration, was present but more hidden in the boyâs case. Of course, given that the patient was a mere twelve years old must be considered. Yet, the mother made a point of saying that in spite of the scarcity of his words, he enjoyed talking about âlove triangles in his classroomâ. After treatment, he forthrightly says he is enjoying hanging out with girls.
Roland describes a shameless, coldness, a desire to penetrate without empathy. While this also was not obvious in the case, Billyâs enjoyment of stories about murder, assassination, and a kind of clinical curiosity about his sisterâs accident hints at these qualities. The word âcuriousâ came up several times, and itâs chilling to consider how frogs are so often used in science classrooms as studentsâ first objects of dissection, which begins with pithing, the technique of immobilizing and killing an animal by inserting a rod or needle into the base of the brain.
Further correspondences between Rolandâs trituration and this case include the presence of lizards and snakes, and the movement of jumping and leaping.
Keywords: excessive shyness, isolation, speech difficulties, developmental delays, fear of frogs and bugs, bullfrog
Remedies: Rana catesbeiana.