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   Author  Topic: Getting Really Upset  (Read 632 times)
MarkHW
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Getting Really Upset
« on: Mar 1st, 2006, 10:36am »
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I am about to blow a gasket and needed to vent.
 
I have bounced back and forth between chronic and episodic cluster for the past 20 years.  Right now with lots & lots of drugs I seem to be episodic.  About every 4 months I go 2 to 3 weeks with no cluster and then start again.
 
I have been using Imitrex injections for 20 years.  They work very well.  My insurance has decided that I can't have any more for 2 months because it's too soon.
 
Went to my neuro.  Had a cluster.  He injected me with migranal and it blew out the headache.  He prescribed Migrinal nasal spray for 3 days - 2x/day to break the cycle and then one as needed.  Did the 3 days and it did break my cycle.  Then Sunday I had an attack.  Tried the Migrinal spray - didn't work.  Ended up at the ER.
 
I called Monday - Neuro out of office.  So, I took migrinal as a preventative.  Called Tuesday - Neuro out of office (even though he was supposed to be back).  So, I took more migrinal as a preventative.  Called today - get the secretaries vm.  I am now out of migrinal and have NO preventative measures.  O2 only works once in a while for me.  
 
I am in the middle of the worst cycle I have had in a couple years and the Neuro's office is useless.  
 
I'm calling back in a little bit.  If I don't get help I am going to ask if I can come in!  If not, I will be finding a new Neuro.  The worst part is that I like my Neuro and he has been helpful - I think it's his staff.
 
Ok... done ranting.
Mark
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Re: Getting Really Upset
« Reply #1 on: Mar 1st, 2006, 10:58am »
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How are you using O2? Do you have a non-rebreather mask and a hi-flow regulator?
 
What I've done in the past is drive to the neuro's office without an appt. The medical assistance should check you out and either give you a refill, or give you some samples.
 
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Re: Getting Really Upset
« Reply #2 on: Mar 1st, 2006, 11:43am »
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Ask to see the neuro on call.  There should be one on staff.  You may have to repeat your case history to him but at least you can then get a script.  Explain the situation to the dr nurse and you urgent need to see the dr now.  They should be able to work you in to see him.  Good luck!!!
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Re: Getting Really Upset
« Reply #3 on: Mar 1st, 2006, 1:43pm »
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Migranal should not be used as a prevent. It's meant to be used only as an abortive (for migraines). I know you bought some kudzu, hopefully that will help.  
You need a regimen of prevents in your arsenal, as well as effective abortives. If you haven't already...try oxygen.
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Re: Getting Really Upset
« Reply #4 on: Mar 1st, 2006, 3:07pm »
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Quote:
I'm calling back in a little bit.  If I don't get help I am going to ask if I can come in!

 
 
Dont ask! just show up and make noise until the doc sees you.  If the waiting room gets to see a full blown CH attack, they will whisk you in to see the doc as it will scare the other patients.
 
Done it.  
 
 
Lance
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Re: Getting Really Upset
« Reply #5 on: Mar 1st, 2006, 4:06pm »
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I'm with Lance -- don't call - just go in. They don't like to see a hit in the waiting room.... Scares people... You'll see a doc and quick -- trust me on this one...
 
Hugs BD
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Re: Getting Really Upset
« Reply #6 on: Mar 1st, 2006, 10:13pm »
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That's three votes for getting hit at the docs office.  They will see you.  Fast.  Also you really need a preventative.  Isn't Migranal a triptan?  don't think that should be a preventative.  What about Verapamil, Lithium, Melatonin?
kathy
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Re: Getting Really Upset
« Reply #7 on: Mar 1st, 2006, 10:18pm »
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on Mar 1st, 2006, 10:13pm, kcopelin wrote:
 Isn't Migranal a triptan?  

 
It's an ergot. DHE
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Re: Getting Really Upset
« Reply #8 on: Mar 3rd, 2006, 10:42am »
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All I have to add is: I wish you lots of PF time as soon as possible... hug
 
Best wishes,
Sanna
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