Migraines

Sometimes I can go for almost two weeks without a migraine. In the past two weeks I've had nine. Nine! And I'm not sure why. A doctor can give you pills, which is great, but it's not enough.

Everyone who gets migraines experiences them differently. Some people don't get help from drugs. Some drugs help me, except when they don't. Either way, even if the pain is manageable the zombie effect is not. I slouch through migraine days dragging my body along like it's a bag of rocks, which, come to think of it, is also a good description of my thought processes.

Migraines are confusing. I thought I was going to have a tenth in the wee hours of this morning. The circumstances were the same as always. The pain in my head was in the same place. My brain felt dull and my vision pulsated. Rather than try to sleep I got up and went outside. It was cold and that felt good. I exercised for a while. Then I came in and made coffee. Slowly, whatever it was went away.

If that would work every time I'd be a millionaire. Or at least muscular.

Maybe it wasn't a migraine. But I haven't had a plain old headache in almost twenty years.

My mother had migraines. She was the most stressed-out person I've ever known. That tells you something about my upbringing and what I imprinted on.

So although some will tell you to omit wine and cheese from your diet, in my case migraines might not be based in physical causes. I don't have a problem with wine, cheese, coffee, chocolate or many of the other conventional "triggers" (an apt word).

But maybe I could limit my migraines by limiting my stress. I think this is a great idea. The only things I stress over are being out in public and being home in private.

Do you get migraines? If so, please don't share your cures, I've tried them all (except this one). But please do share the following:

Are your migraines caused by physical things? (food, drink, smacks to the head)
Are they caused by emotional things? (stress, fear, Mac vs Microsoft)
Do you continue working when you have a migraine? What makes this possible?

 

How do you relieve stress? Or are you out of ideas?

Aura

The atrium outside the Huntington Hospital's Braun Auditorium is not pink. But I was there to learn about "The Mysteries of Migraine" so it seemed appropriate to mess with the visuals.

Last night, the Huntington Medical Research Institute (HMRI) hosted a presentation/reception/wine and cheese thingy (red wine, which a lot of migraineurs can't drink, but their spouses can). I went because I wanted to learn what I could.

Actually, I went because I want to get off of these drugs. If learning will help, I'll do that. If driving backwards down Colorado Blvd. will help I'll do that, too.

Little is known about migraines, yet there's enough to say about them that we could talk about them for weeks. Among other things I learned last night, one of the most surprising is that very little research is being done into this disease suffered by 30 million Americans. But aren't we lucky? Of the very few facilities in the United States studying migraine, one of them is right here in Pasadena.

And last night's wine and cheese was all about recruiting migraine sufferers to volunteer for research.

Hmm. They have to extract spinal fluid. You know--a spinal tap. Our host Larry Wilson, Public Editor of the Pasadena Star-News and a migraineur, said that when these specialists tapped his spine he "didn't feel a thing."

I have a very low threshold of pain.

Do you think I signed up?

Dope

If you suffer from migraines, perhaps you take drugs not only to relieve the pain but to prevent the attacks as well, or at least diminish their frequency. And "suffer" is a relative term here. Everyone's migraine is different. Some people become nauseated and have to go to bed, some experience blind pain that drives them nearly to suicide.

I haven't had to endure a migraine's full wrath in quite a while because a medication called sumatriptan works for me. When I feel the thing begin its evil squeeze I take the pill and within an hour or two, I'm released.

I used to feel euphoric when the migraine lifted. Now I'm left with a kind of brainlessness. This is because I'm also taking a migraine preventer called a topiramate. It works. I was having 15 or 20 migraines a month and now I have about four. But topiramate has its drawbacks.

In some people, topiramate suppresses appetite. In some it causes paranoia or fainting, rapid breathing or blood clots. In me it causes sluggishness of body and mind. The worst thing is I have trouble remembering words. This would be no big deal if I were, say, a professional wrestler. Or maybe a neurologist.

I've told my neurologist how the topiramate makes me feel, how the word recall problem makes it hard to, um, you know, write words. He suggests I try different doses. He suggests I take it at different times of the day. He adamantly insists I quit drinking coffee. I tried that for an anguished six months, during which I was more sluggish than ever and had more migraines than ever. If I didn't drink coffee John would have to do all the laundry and grocery shopping and dog walking and that's not fair. I'd be a hazard on the roads. Hell, I'd be a hazard in my own house.

John suggested I get a second opinion. Duh! (If I wasn't taking this drug would I have thought of that myself?) He also suggested I research migraine preventers on my own. The first place I looked listed seven--SEVEN--alternatives to topiramate. I haven't had a chance to research them yet. Maybe they have side effects, like paranoia or blood clots or the urge to sleep with a moose.

But the doctor never bothered to mention these alternatives to me. Perhaps he doesn't know about them. He knows he wants me to stop drinking coffee. I begin to wonder if he went to college.

Obviously I don't have a migraine today or you'd be reading a shorter post. Anybody know a good neurologist?