An Impossible Diagnosis (Millard example)

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Jim Eshelman
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An Impossible Diagnosis (Millard example)

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Nicole, July 18, 1972, 12:12 PM EDT, Portland, ME
Dr. Millard wrote:It is not often that a case is so baffling that a diagnosis cannot be made, in spite of all the resources of a modern hospital... [Nicole] died of fulminating liver and brain disease in the spring of 1977 [age 4], which was diagnosed as Reye's syndrome. However, there were some findings which did not fit this diagnosis. It was felt that she might have had Wilson's disease, a familial dominant disorder. It was important to find out, as there were two other children in the family, and there is a fifty percent chance of inheritance... there is a treatment for Wilson's disease if it is diagnosed early enough.

Nicole's liver was removed at autopsy and sent... for the copper content to be measured. It was higher than normal, as if it were indeed Wilson's disease, but not high enough to be diagnostic... Death was from brain and liver failure, and she died in four days.

...Nichole had always been healthy except that she had had headaches, beginning at the age of around two years and recurring irregularly, but at least once a month. They were associated with vomiting, and were typical of childhood migraine, although there was no family history of this...
Headache, vomiting, and fever began May 7, 1977. The next day "she became drowsy and her mother could not rouse her. She was admitted in coma to the hospital, and... died on May 12," 7:30 PM.

Reye syndrome is a rapidly worsening brain disease of unknown cause, primarily affecting children, often with liver toxicity and fatal in a third to a half of the cases. Even the survivors usually have a lot of brain damage. Because 90% of cases onset following aspirin use, it's the main argument against giving children aspirin. Wilson's disease is a genetic disorder causing excessive copper build-up with brain and liver symptoms.

MY ANALYSIS: I understand the frustration of this being an undiagnosable case. That is, I don't know what diagnosis to give it. (II think it was Wilson's, but I have no way to confirm.) - However, the simple principles I propose move directly to the three things known about the case. We could have easily anticipated these three things.

Nicole had two background hard aspects: Jupiter square Pluto and Venus conjunct Saturn. She had Moon in Libra. Jupiter-Pluto as a health indicator is consistent with liver pathology (among other things). Venus-Saturn is signifies Venus afflictions, most often an endocrine problem, but including copper toxicity. Finally, the Libra Moon means that the most significant vulnerability to illness involved her head.

Headache, toxic copper levels, and liver disease were the three elements of her sickness.
Jim Eshelman
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Jim Eshelman
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Re: An Impossible Diagnosis (Millard example 5)

Post by Jim Eshelman »

When she died, transiting Neptune was within 1° of opposition to natal Saturn and semi-square natal Moon.

Several other transits were approximately there, but not partile, such as Saturn conjunct her Mars. They might have been present on angles of operative return charts.

What I find most interesting in her final SSR is that another Venus-Saturn conjunction appears and runs the whole chart. Transiting Venus-Saturn-Uranus are on the angles, in close ecliptical and mundane aspects, with all three of them also aspecting natal Moon from the angles. This seems a signature of the event, meaning some variation of what her natal Venus-Saturn meant.

Her final SLR occurred May 2. It's quite fine for the death itself, though I'm not sure it aids the diagnosis:

14°30' Ari - t Mercury (+0°35' MC)
14°58' Ari - MC
15°14' Lib - t Uranus (-0°27' IC)
15°56' Can - t Saturn (0°58' EP)
17°43' Ari - t Sun (-2°57' MC)
18°18' Can - r Mars (+6°50' Asc)

The Saturn transit to Mars was a little closer than it looks in longitude: In PVL they were 2°03' apart.

A Sun-Saturn-Uranus T-square on the angles joined by Mercury also aspected natal Mercury and Mars.

On the day she got sick, May 7, her Novienic Lunar Return (which I increasingly think is a day chart) had a severe trigger:

13°02' Pis - t Mars
14°41' Sag - MC
15°07' Sag - t Moon
15°38' Pis - t Venus
16°22' Pis - EP-a
17°30' Vir - t Pluto

Again, an afflicted Venus, but also signs consistent with inflammation and death (among many other possibilities). The day she died, the NLR had the Venus-Mars-Pluto partile - all within a degree - but it wasn't foreground. (Natal Pluto was on IC.)

Her SQ Moon was opposite natal Moon 0°23', as if saying that the key was in natal Moon.
Jim Eshelman
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