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roudym2
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The Beast is back!
« on: Aug 19th, 2004, 8:01pm »
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Huh
 
 
 I'm baaaaaaaacck!
 
  New to this site as I just tripped over it. Been doing a lot of that lately.
 
  Please read this slowly as I can't type very fast, or well.
Recently went to h/a clinic at ClevelandClinic. Very impressive campus by the way. Covers all specialties and is rated #4 in the US by a major weekly newsmagazine. Big deal if they can't help!
 
  I have had a nearly constant headache of varying intensity for over a year. My PCP couldn't help as this is way outside of her experience. That's right, she! Ever had a physical from a beautiful blonde? About the only fun I've had in a while! Sorry, Doc.
 
   Saw a local Neuro and after testing, he said I had tension h/a , gave me a scrip for Depakote, and said get back to work. Fired his ass on the spot!
 
  I didn't mention that I have been unable to work in 11 months because of the pain and the hazardous nature of my job. I am(was) a mold maker.Thank goodness I had disability income insurance and that it was approved. Otherwise I'd be hosting a new show on cable called "This Old Box". After 90 days, my short term disability payments ended and I had to re-qualify for Long-Term benefits. My employer's policy is, once you go on Long Term, you are terminated. Totally unfair, comepletely unsympathetic, and absolutely legal! I checked with 3 different law firms. What a country!!!!!!!!!
 
  About 25 years ago, I was diagnosed with CH by a newbie Neuro and lived with it for a few years. He said I would outgrow it at about age 50. By the way, guess who he shares an office with now? See above.
 
  After about 20 years of peace, these new h/a's started.
 
  Looking for a local h/a clinic with a good rep(hah!) I made the appointment in Cleveland. After taking my history, looking over my records and test results, including MRI, MRA, Opthalmic exam for temporal arteritis,and on and on, the head guy at the clinic told me that I now have Chronic CH. I was not aware of such a thing. The beast can and does change it's stripes!
 
  By the way, I suggest that all of you get and keep copies of your records, and pass out copies of these as needed. You're gonna do that alot if you have the luck I do.
 
  Ialso have a Movement Disorder diagnosed at U of Michigan (the place does not impress me), Clinical Depression(lifelong), much anxiety, and a lot of anger.
 
  Just started meds prescribed by the clinic
     
         Verapamil.........480 mg/day
     
     Indomethacin..225mg/day
 
     Melatonin.........15mg/day
 
  No real affect yet, too soon to tell. Will contact them again in a week.
 
   Also having vivid dreams of a fairly strange nature that often wake me up to find myself sitting up in bed finishing a conversation. Kinda spices up the anxiety factor. Today I was hollering in my sleep that I was being attacked by a bear. Good thing my son was there to "chase it away"!
 
  Any of this make sense, or am I just babbling like an old fart?
 
  I'm gonna post this now cause this is the second attempt at posting. The first one was swallowed whole by this comp somehow!
 
 
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don
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Re: The Beast is back!
« Reply #1 on: Aug 19th, 2004, 8:08pm »
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Quote:
Any of this make sense, or am I just babbling like an old fart?

 
Both.
 
The verapamil ussually takes 10-14 days to be effective.
 
You didn't mention any abortive.
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roudym2
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Re: The Beast is back!
« Reply #2 on: Aug 19th, 2004, 8:09pm »
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indomethacin........225mg/day. Isn't that it?
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don
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Re: The Beast is back!
« Reply #3 on: Aug 19th, 2004, 8:15pm »
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Nope. An abortive is ussually one of the triptan class meds.
 
Imitrex injections work like a charm for me at only 1/3 the prescribed dosage.
« Last Edit: Aug 19th, 2004, 8:15pm by don » IP Logged
roudym2
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Re: The Beast is back!
« Reply #4 on: Aug 19th, 2004, 8:20pm »
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I have some Imitrex tabs that my pcp gave me....they don't do squat and you can only take two in 24 hrs.
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don
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Re: The Beast is back!
« Reply #5 on: Aug 19th, 2004, 8:22pm »
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How long does a CH attack normally last for you.
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roudym2
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Re: The Beast is back!
« Reply #6 on: Aug 19th, 2004, 8:24pm »
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as long as I am vertical. The more active I am the worse it gets.
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don
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Re: The Beast is back!
« Reply #7 on: Aug 19th, 2004, 8:34pm »
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Minutes? hours?
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roudym2
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Re: The Beast is back!
« Reply #8 on: Aug 19th, 2004, 8:36pm »
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sometimes all day
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Kris_in_SJ
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Re: The Beast is back!
« Reply #9 on: Aug 19th, 2004, 8:55pm »
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Hi,
 
It seems to me that you need to do a little research (read the links to the left for starters).  Take the cluster quiz.  Does it fit?  Your initial post sounded like you've been in constant agony for years - with the emphasis on constant.
 
If you do have CH, no CH specialist worth his/her weight in brain matter would not prescribe an abortive - Imitrex injectible, 02, or Zomig - for starters - not pills!
 
Your vivid dreams are most likely from the Melatonin - it is well known for that side effect.  The Verapamil is probably OK in terms of dosage, though many go higher.
 
You should also take not that it may be very possible that you do have chronic depression - CH in chronic stage can certainly cause that ... as can any chronic pain.
 
I don't have the answers.  I can only encourage you to keep trying for an answer.  By the way ... U of M is one of the best .... spoken like a true Michigander.
 
Hugs and wishes for many PFDAN,
 
Kris
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I'm a small woman in small town being chased by a VERY BIG BEAST!
don
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Re: The Beast is back!
« Reply #10 on: Aug 19th, 2004, 9:15pm »
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A cluster headache will not last all day.
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pubgirl
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Re: The Beast is back!
« Reply #11 on: Aug 19th, 2004, 11:17pm »
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roudym
 
Just to echo Don. Unless you have another headache syndrome in addition, this isn't CH and your 'newbie neuro' has misdiagnosed.
 
Perhaps this may be worth a look:
 
http://jnnp.bmjjournals.com/cgi/content/full/72/suppl_2/ii2?ijkey=a7222a 9463c37104b620f9e4747480fcb97d3026&keytype2=tf_ipsecsha
 
and a less 'clinical' one
 
http://www.primarycarenet.org/cme/CME8.CFM
 
 
If your pain can be continuous , but overlaid with Ch type attacks , have a read of
 
http://www.upstate.edu/neurology/haas/hphemi.htm
 
Hope this helps
 
Wendy
 
P.S. Also, not directed at you , but for clarification for anyone reading this, chronic CH doesn't mean having pain all the time, it is a medical arbirtrary classification for how much pain free time there is between bouts.
« Last Edit: Aug 19th, 2004, 11:20pm by pubgirl » IP Logged
roudym2
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Re: The Beast is back!
« Reply #12 on: Aug 20th, 2004, 2:37am »
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 Thanks for the feedback guys, but keep in mind that I am just an old fart with h/a's. Not highly educated rocket scientists like you folks seem to be.
   
  I'm not stupid, but I am wandering on unfamiliar ground and too many "maps" can be worse than none at all.
 
  I will continue to carry on but don't expect an old codger in pain to understand all that you do.
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Re: The Beast is back!
« Reply #13 on: Aug 20th, 2004, 4:10am »
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Welcome to the site.  There is lots of information to be found here, both from the links to the left and from people's own personal experiences.
 
Please understand, no one is saying you do not have CH.  The symptoms you describe are not typical of normal cluster headache symptoms, which is why  people suggested you do some research on your own.  You don't need to be a rocket scientist.  If you can read and I assume you can since you can write  Grin - check out the information on the links to the left.  A lot of good information there.  Also check out the links given by pubgirl.  There are numerous cases of people having more than one type of headache at the same time.  
 
If you are having 15 to 180 minute long attacks of excrutiatingly severe pain on one side of your head centered on the eye, any neuro with half a brain and any compassion that knows about CH should have prescribed you an abortive to kill the individual h/a's.  Imitrex Injections and Zomig Nasal Spray seem to be the 2 fastest working meds.  Pills don't work fast enough to be an effective abortive.  If you have heart or blood pressure trouble, that may explain you not being prescribed triptans for aborting the attacks.  S/He still should have prescribed you 100% oxygen at 10 - 15 liters per minute through a non-rebreathing mask for 10 to 20 minutes to be taken at the onset of an attack.  Approximately 80% of us get decent relief from the O2 alone.
 
Information is your best weapon.  We have discovered you cannot depend on the doctors to know everything and in a lot of cases - anything about CH.  Read, Read, Read.  Print out the info that seems to pertain to you and take it to your doc.
 
Again, welcome to the site and good luck in your search for an effective treatment program.   If you have questions - ask.  Someone is usually here 24/7.
 
Gator
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pubgirl
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Re: The Beast is back!
« Reply #14 on: Aug 20th, 2004, 4:15am »
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Sorry Rudy
 
We're mostly 'old farts' here if the truth be known Grin
Have tried to summarise the information below
 
 
(and Gator, I AM saying that IF the headache lasts for days it isn't CH)
 
For some clarification Rudy, hope it helps
 
Cluster Headaches only last about an hour on average. Individuals have had individual attacks that last a couple of hours, and a few very extreme cases of 4 hours but this is unbelievably rare and certainly doesn't fit the criteria for diagnosis.
 
We tend to post links to people because we are not doctors and encourage people to find out for themselves.
 
There are 4 more common primary headache types where the pain can last for a long time, or even be there all the time.
 
They are:
Migraine
Chronic Daily Headache
Hemicrania Continua (this is the one where constant pain can be overlaid with CH type attacks)
Medication Misuse Headache
 
There are in addition some physical problems which can result in constant headache, but these are only checked by neuros via scans/physical examinations etc.
 
We are suggesting that you need to go and research and also seek another neurologist as your symptoms as you describe don't fit CH and the treatments you are being given may well be wrong.
 
Hope you get some relief from this pain soon
 
Wendy
« Last Edit: Aug 20th, 2004, 5:00am by pubgirl » IP Logged
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Re: The Beast is back!
« Reply #15 on: Aug 20th, 2004, 4:47am »
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on Aug 20th, 2004, 4:15am, pubgirl wrote:
and Gator, I AM saying that if the headache lasts for days it isn't CH.

 
Hey, it's all good with me.  Dude seemed kind of vague on just what all his symptoms are.  That is why I said his symptoms (the ones he would tell us) were not typical and explained the symptoms he should be having if he has ch.  I also re-iterated your commentary on multiple headaches and re-directed him to your posted links in addition to the info on the left.
 
I like to fight and agrue as much as the next person.  I could have torn into him about his non-CH like symptoms and flown off the handle over the rocket scientist comment.  Sounds like he may already have been the victim of bad info.  In this case I was just trying to help the dude get the info he needs and avoid another 90+ entry slugfest.  
 
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pubgirl
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Re: The Beast is back!
« Reply #16 on: Aug 20th, 2004, 4:59am »
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Gator
 
What are you talking about? There's no argument here. I luvs ya  Kiss
 
Wendy
« Last Edit: Aug 20th, 2004, 5:52am by pubgirl » IP Logged
Jaime
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Re: The Beast is back!
« Reply #17 on: Aug 20th, 2004, 9:48am »
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I think it takes us newbies awhile to 'learn the lingo' of clusterheads. The term shadow confused me, because I wasn't making a distinction between the periods of debilitating intense pain which last up to an hour for me, and the usually several hours of dull ache between bouts. It was all one headache to me. A headache that lasted 3 weeks and counting. It wasn't until I started reading this site that my own symptoms started making any sense.
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Re: The Beast is back!
« Reply #18 on: Aug 20th, 2004, 9:58am »
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Hey Rudy - dont know if this will be of help but when we were in the process of getting my partner diagnosed we were looking at every type of extreme headache there was.
 
There was one i came across called a spinal tap leak headache. Sufferers of this type only get relief when laying down - its where something from the spine leaks into the head and causes the pain.
 
when we mentioned it to the specialist she said you cannot get these spinal leak headaches unless you have had a procedure called a "spinal tap" or have damaged your spine in some way.
 
It may be nothing but i thought it was worth me mentioning as you said that from the minute you get up you are in pain.
 
Have you ever had a spinal tap?
Have you ever damaged your spine in anyway?
Do you get relief from the pain by laying down?
 
sorry to be nosey hun - and by the way WELCOME TO THE BOARD!!!! Grin
 
luv sarah xx
 
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roudym2
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Re: The Beast is back!
« Reply #19 on: Aug 20th, 2004, 2:58pm »
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ok seems to be some nice people here that want to be supportive, and some others that have an attitude problem. Maybe this is just not the right place for me to "live".  
  Sorry if I stepped on any ego's, and good luck to all.
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pubgirl
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Re: The Beast is back!
« Reply #20 on: Aug 20th, 2004, 3:05pm »
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Rudy  
 
If you are referring to me, I'm trying to help!
 
Wendy
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Re: The Beast is back!
« Reply #21 on: Aug 20th, 2004, 3:07pm »
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on Aug 20th, 2004, 2:58pm, roudym2 wrote:
ok seems to be some nice people here that want to be supportive, and some others that have an attitude problem. Maybe this is just not the right place for me to "live".  
  Sorry if I stepped on any ego's, and good luck to all.

 
 Huh
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Re: The Beast is back!
« Reply #22 on: Aug 20th, 2004, 8:09pm »
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Hey guys i am not sure but that sounded like a put up.
 
I might be all wrong here but............... i really did not read anything in this post but people trying to helpful.
 
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john_d
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Re: The Beast is back!
« Reply #23 on: Aug 20th, 2004, 8:40pm »
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on Aug 20th, 2004, 2:58pm, roudym2 wrote:
ok seems to be some nice people here that want to be supportive, and some others that have an attitude problem. Maybe this is just not the right place for me to "live".  
  Sorry if I stepped on any ego's, and good luck to all.

 
I read this thread up and down and I don't see anything that has an attitude problem, am I missing something?  Huh
 
edit  
BTW WTF with quote below?  
this reminds me of Freddy, remember nutty Freddy  Wink  
on Aug 19th, 2004, 8:01pm, roudym2 wrote:
Huh
 
 
 I'm baaaaaaaacck!
 
  New to this site as I just tripped over it. Been doing a lot of that lately.

 
« Last Edit: Aug 20th, 2004, 8:45pm by john_d » IP Logged
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Re: The Beast is back!
« Reply #24 on: Aug 20th, 2004, 9:28pm »
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I didn't read anything in this thread that warranted the hostile response that it got.  Huh
« Last Edit: Aug 21st, 2004, 2:45am by Mac » IP Logged

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