I'll admit that I've fallen out of the blogging habit a bit this year, and once I'm back from vacation at the beginning of October, I hope to start posting weekly updates again. One of the toughest parts of blogging about a chronic illness is that chronic illness often gets in the way. My Migraines in particular often limit the time I can spend on the computer. I did want to take a few minutes today and post links to two very important blog posts and ask that you check them out.
The first is an excellent interview of Cindy McCain by Teri Robert. Cindy recently came out of the Migraine closet and has become an advocate for all Migraineurs. She recently appeared on the Today show, and Teri had the chance to interview her as well.
Teri's interview: Interview with Cindy McCain, Migraine Sufferer, Advocate
The second is a petition put together by the American Pain Foundation asking the FDA to consider educating consumers about the risks of acetaminophen, rather than strict regulation. Diana Lee wrote an excellent blog post about the petition. If you agree with the APF's stance, please take a minute to sign the petition before this Sunday, September 27.
Diana's post: FDA Ban on Prescription Pain Meds: Take Action Now
APF petition: Acetaminophen: Educate, Do Not Regulate
Be well,
MJ
Showing posts with label migraineurs. Show all posts
Showing posts with label migraineurs. Show all posts
Tuesday, September 22, 2009
Saturday, September 12, 2009
30 things about my invisible illness you may not know
The wonderful Teri Robert of MyMigraineConnection had recently posted this on her blog, From Teri's Keyboard, and asked me to participate.
I'll quote Teri's post here to better explain this meme:
Without further ado...
1. The illness I live with is: Migraine disease (including Transformed Migraine, Chronic Migraine, Migraine Without Aura and Acephalgic Migraine), Idiopathic Intracranial Hypertension, Irritable Bowel Syndrome, along with gluten intolerance, many food sensitivities, seasonal/environmental allergies and Asthma. I also struggle with depression and anxiety. For the purposes of this meme, I will mainly focus on the head pain issues.
2. I was diagnosed with it in the year: 2003 (Migraine) & 2009 (IIH).
3. But I had symptoms since: at least my early teen years.
4. The biggest adjustment I’ve had to make is: slowing down and learning to modify my goals (both short- and long-term). I've had to learn just what is realistic with my current limitations.
5. Most people assume: that I'm healthy, especially because of my recent weight loss (75 pounds since January 2008). It's hard for them to believe that I'm sick when I look so healthy on the outside.
6. The hardest part about mornings is: getting going. Mornings are the toughest part of my day and the time I generally feel the worst. Pushing through that initial crappiness can be very hard.
7. My favorite medical TV show is: House and Royal Pains.
8. A gadget I couldn’t live without is: my laptop. My cell phone is a close second.
9. The hardest part about nights is: going to bed on time. I'm a night owl by nature, but my Migraine disease requires that I get the right amount of sleep every night. It's difficult to make myself go to bed sometimes, and occasional insomnia and/or anxiety don't help with good sleep hygiene.
10. Each day I take 19 pills & vitamins.
11. Regarding alternative treatments I: currently do massage therapy and relaxation exercises. In the past I've done acupuncture and biofeedback. This fall I plan to try mindfulness meditation, as well as get back into Nia dance and maybe try tai chi/qigong.
12. If I had to choose between an invisible illness or visible I would choose: visible. It's unspeakably hard to feel like I have to prove to others that I'm sick.
13. Regarding working and career: I was laid off from my full-time job in an architecture firm in November 2008. In March of this year, I began working part-time as a hair salon receptionist, and this week I've begun a second job as a medical receptionist, also part-time. I'm not sure if I'm healthy enough to go back to full-time work, especially in an office environment. DF and I have broad future plans to start our own business, but that's quite a ways down the road. I feel very frustrated that I've had to put many career plans on hold (like licensing exams and graduate school) because of my health.
14. People would be surprised to know: that I am in some type of pain every moment of every day. The pain never, ever goes away.
15. The hardest thing to accept about my new reality has been: limitations. I'm an overachiever by nature, someone who pushes through "anything" to accomplish my goals. I've now learned that I have to respect the limitations of my health.
16. Something I never thought I could do with my illness that I did was: blog about it, and reach out to the vibrant online chronic illness community.
17. The commercials about my illness: maddening. I tell DF that Excedrin ads are more likely to trigger a Migraine than the drug would be to stop one.
18. Something I really miss doing since I was diagnosed is: spending time out of the house with my friends.
19. It was really hard to have to give up: pushing myself "no matter what". I've had to learn to stop when my body says so.
20. A new hobby I have taken up since my diagnosis is: knitting/crochet.
21. If I could have one day of feeling normal again I would: have a picnic on a sailboat with DF, without having to worry about the sun, myriad potential triggers or my proximity to a bathroom.
22. My illness has taught me: to say no.
23. Want to know a secret? One thing people say that gets under my skin is: "I've heard that __ fixes Migraines, you should try it." Trust me, I already have. I know you may mean well, but I would rather do without the unsolicited advice.
24. But I love it when people: show compassion or honestly want to know more about my illnesses.
25. My favorite motto, scripture, quote that gets me through tough times is: "There are times in life when we can nurture our talents and watch them grow. But there are also times in life when we can do no more than protect them to get through the day-to-day, until we have the opportunity for nurturing again." (paraphrased) from the former honors director at my alma mater. He and I were discussing my worries about the effects of my health on my semester's work.
26. When someone is diagnosed I’d like to tell them: the most important thing you can do as a patient is educate yourself and ask as many questions as you need to understand.
27. Something that has surprised me about living with an illness is: how much space it takes up in my life, and how every minor decision becomes a major choice.
28. The nicest thing someone did for me when I wasn’t feeling well was: when DF took care of me after my lumbar puncture when I had a spinal headache. In addition to everything he normally does for me, he went so far as to empty a trash can I had vomited in when I couldn't walk to the toilet.
29. I’m involved with Invisible Illness Week because: the only way to increase awareness of our illnesses is to speak out.
30. The fact that you read this list makes me feel: that one day, there will be more understanding of the struggles that chronic illness patients face.
If you blog, or even if you just Facebook, I ask that you please consider posting this meme with your own answers.
Be well,
MJ
I'll quote Teri's post here to better explain this meme:
Anyone who has Migraine disease or another headache disorder knows what it's like to live with an invisible illness. People can't see our illness. There are no outward signs. No physical scars, canes, wheel chairs, or any of the other outward signs that can alert people that a person is living with an illness.
Invisible illnesses are easy for "healthy" people to ignore. Unfortunately, so are the difficulties of those who live with these diseases. This adds to the burden of disease and makes lives even more difficult.
Each year, National Invisible Chronic Illness Awareness Week is observed to educate the public and raise awareness about invisible illnesses. One of the blogging activities this year is a "meme," 30 Things About My Invisible Illness You May Not Know.
Without further ado...
1. The illness I live with is: Migraine disease (including Transformed Migraine, Chronic Migraine, Migraine Without Aura and Acephalgic Migraine), Idiopathic Intracranial Hypertension, Irritable Bowel Syndrome, along with gluten intolerance, many food sensitivities, seasonal/environmental allergies and Asthma. I also struggle with depression and anxiety. For the purposes of this meme, I will mainly focus on the head pain issues.
2. I was diagnosed with it in the year: 2003 (Migraine) & 2009 (IIH).
3. But I had symptoms since: at least my early teen years.
4. The biggest adjustment I’ve had to make is: slowing down and learning to modify my goals (both short- and long-term). I've had to learn just what is realistic with my current limitations.
5. Most people assume: that I'm healthy, especially because of my recent weight loss (75 pounds since January 2008). It's hard for them to believe that I'm sick when I look so healthy on the outside.
6. The hardest part about mornings is: getting going. Mornings are the toughest part of my day and the time I generally feel the worst. Pushing through that initial crappiness can be very hard.
7. My favorite medical TV show is: House and Royal Pains.
8. A gadget I couldn’t live without is: my laptop. My cell phone is a close second.
9. The hardest part about nights is: going to bed on time. I'm a night owl by nature, but my Migraine disease requires that I get the right amount of sleep every night. It's difficult to make myself go to bed sometimes, and occasional insomnia and/or anxiety don't help with good sleep hygiene.
10. Each day I take 19 pills & vitamins.
11. Regarding alternative treatments I: currently do massage therapy and relaxation exercises. In the past I've done acupuncture and biofeedback. This fall I plan to try mindfulness meditation, as well as get back into Nia dance and maybe try tai chi/qigong.
12. If I had to choose between an invisible illness or visible I would choose: visible. It's unspeakably hard to feel like I have to prove to others that I'm sick.
13. Regarding working and career: I was laid off from my full-time job in an architecture firm in November 2008. In March of this year, I began working part-time as a hair salon receptionist, and this week I've begun a second job as a medical receptionist, also part-time. I'm not sure if I'm healthy enough to go back to full-time work, especially in an office environment. DF and I have broad future plans to start our own business, but that's quite a ways down the road. I feel very frustrated that I've had to put many career plans on hold (like licensing exams and graduate school) because of my health.
14. People would be surprised to know: that I am in some type of pain every moment of every day. The pain never, ever goes away.
15. The hardest thing to accept about my new reality has been: limitations. I'm an overachiever by nature, someone who pushes through "anything" to accomplish my goals. I've now learned that I have to respect the limitations of my health.
16. Something I never thought I could do with my illness that I did was: blog about it, and reach out to the vibrant online chronic illness community.
17. The commercials about my illness: maddening. I tell DF that Excedrin ads are more likely to trigger a Migraine than the drug would be to stop one.
18. Something I really miss doing since I was diagnosed is: spending time out of the house with my friends.
19. It was really hard to have to give up: pushing myself "no matter what". I've had to learn to stop when my body says so.
20. A new hobby I have taken up since my diagnosis is: knitting/crochet.
21. If I could have one day of feeling normal again I would: have a picnic on a sailboat with DF, without having to worry about the sun, myriad potential triggers or my proximity to a bathroom.
22. My illness has taught me: to say no.
23. Want to know a secret? One thing people say that gets under my skin is: "I've heard that __ fixes Migraines, you should try it." Trust me, I already have. I know you may mean well, but I would rather do without the unsolicited advice.
24. But I love it when people: show compassion or honestly want to know more about my illnesses.
25. My favorite motto, scripture, quote that gets me through tough times is: "There are times in life when we can nurture our talents and watch them grow. But there are also times in life when we can do no more than protect them to get through the day-to-day, until we have the opportunity for nurturing again." (paraphrased) from the former honors director at my alma mater. He and I were discussing my worries about the effects of my health on my semester's work.
26. When someone is diagnosed I’d like to tell them: the most important thing you can do as a patient is educate yourself and ask as many questions as you need to understand.
27. Something that has surprised me about living with an illness is: how much space it takes up in my life, and how every minor decision becomes a major choice.
28. The nicest thing someone did for me when I wasn’t feeling well was: when DF took care of me after my lumbar puncture when I had a spinal headache. In addition to everything he normally does for me, he went so far as to empty a trash can I had vomited in when I couldn't walk to the toilet.
29. I’m involved with Invisible Illness Week because: the only way to increase awareness of our illnesses is to speak out.
30. The fact that you read this list makes me feel: that one day, there will be more understanding of the struggles that chronic illness patients face.
If you blog, or even if you just Facebook, I ask that you please consider posting this meme with your own answers.
Be well,
MJ
Saturday, November 1, 2008
kreativ blogger award
I started Rhymes With Migraine only a few months ago, and I've been a bit lax in posting. That's the irony of living with and blogging about chronic illness - often the illness gets in the way of blogging. At least, it has for me, because I have a lot of trouble using the computer when my Migraines are bad.I was therefore (pleasantly) surprised to learn that fellow blogger Leslie of Getting Closer to Myself awarded me with the Kreativ Blogger Award!
Leslie is one of my favorite bloggers, and has been very supportive in the short time I've known her. So Leslie, many thanks for giving me this award!
As part of the Kreativ Blogger Award, I'm to list six things that make me happy, and give this award to six other bloggers.
Six things that make me happy:
- My very supportive family, friends and boyfriend.
- My adorable kitty, Madcat.
- The kindness, compassion and understanding of the entire chronic illness community.
- Sharing my own story to connect with others.
- Knitting, crocheting or sewing.
- A nice warm cup of tea.
- Diana, of Somebody Heal Me
- Ellen, of WEGO Health
- Janet, of The Migraine Girl
- Megan, of Free My Brain From Migraine Pain
- Suzie, of Sparkling With Crystals
- Teri, of MyMigraineConnection (and others)
Thanks again to Leslie for honoring me with this award. I encourage all of my readers to check out my choices, as well as the other wonderful blogs in my blog roll.
Be well,
MJ
Monday, September 8, 2008
national invisible illness awareness week
Those of us with Migraines certainly understand the frustrations of living with an invisible chronic illness, one that brings us incredibly debilitating pain and other symptoms. Many of these frustrations we share with other members of the invisible illness community, specifically that Migraines are invisible, and those around us can't tell we're sick just by looking at us. Hence the word, invisible.
You may have noticed in reading my blog that I capitalize the words Migraine and Migraineur. I adopted this for many of the same reasons as my fellow Migraineur bloggers: advocacy and awareness of Migraine as a disease, and more than just a bad headache. Teri Robert of MyMigraineConnection explains her reasoning for the capital "M" in her excellent blog post, Migraine With a Capital "M".
Ellen Schnakenberg over at WEGO Health has recently run into trouble with the WEGO editors. Per AP style guidelines, diseases are not capitalized unless they are named after a person (Parkinsons, for example). Because WEGO follows AP style, they will not allow Ellen to capitalize Migraine in the WEGO newsletters. After some pressure, they have allowed her to capitalize Migraine in her own blog posts and articles. Teri Robert fought a similar battle with About.com before she moved over to MMC.
This may not seem like a big deal. Follow the style guidelines and stop making a fuss about it already! But for those of us living with Migraine, recognition of our disease as what it is - neurological in basis with a genetic component, and incurable - is crucial. Public perception of Migraine is that it's just "a bad headache". How many of us have heard and been hurt by those insensitive comments? Can't you just take some Advil? You always have a headache. I used to suffer from headaches too, until I found ___ cure. Sound familiar?
Clearly I do not follow AP guidelines on my blog when it comes to this issue. And from now on, instead of capitalizing just Migraine, I will be capitalizing the names of all diseases - Arthritis, Multiple Sclerosis, Epilepsy, Lupus, all of them. Those of us with invisible illnesses not named after a person shouldn't have to be reduced to a lowercase letter, especially when these illnesses have such a large impact on our lives.
In the spirit of National Invisible Illness Awareness Week (September 8-14), I ask all of my readers to consider doing just one thing to raise awareness. That could be as simple as talking to your significant other about the details of your illness that you normally try to hide. It could be writing a blog post or a letter to a friend. It could be capitalizing the name of your illness, or all illnesses. It could be any of these things or others, whatever may be your personal comfort level.
For further reading about II Week, I encourage you to visit the II website and see what other bloggers are doing. If you have any ideas about raising awareness, I would love to hear them in the comments.
Find more videos like this on Illness-Disability-Healthcare-Caregiver Ministry Network
Be well,
MJ
You may have noticed in reading my blog that I capitalize the words Migraine and Migraineur. I adopted this for many of the same reasons as my fellow Migraineur bloggers: advocacy and awareness of Migraine as a disease, and more than just a bad headache. Teri Robert of MyMigraineConnection explains her reasoning for the capital "M" in her excellent blog post, Migraine With a Capital "M".
Ellen Schnakenberg over at WEGO Health has recently run into trouble with the WEGO editors. Per AP style guidelines, diseases are not capitalized unless they are named after a person (Parkinsons, for example). Because WEGO follows AP style, they will not allow Ellen to capitalize Migraine in the WEGO newsletters. After some pressure, they have allowed her to capitalize Migraine in her own blog posts and articles. Teri Robert fought a similar battle with About.com before she moved over to MMC.
This may not seem like a big deal. Follow the style guidelines and stop making a fuss about it already! But for those of us living with Migraine, recognition of our disease as what it is - neurological in basis with a genetic component, and incurable - is crucial. Public perception of Migraine is that it's just "a bad headache". How many of us have heard and been hurt by those insensitive comments? Can't you just take some Advil? You always have a headache. I used to suffer from headaches too, until I found ___ cure. Sound familiar?
Clearly I do not follow AP guidelines on my blog when it comes to this issue. And from now on, instead of capitalizing just Migraine, I will be capitalizing the names of all diseases - Arthritis, Multiple Sclerosis, Epilepsy, Lupus, all of them. Those of us with invisible illnesses not named after a person shouldn't have to be reduced to a lowercase letter, especially when these illnesses have such a large impact on our lives.
In the spirit of National Invisible Illness Awareness Week (September 8-14), I ask all of my readers to consider doing just one thing to raise awareness. That could be as simple as talking to your significant other about the details of your illness that you normally try to hide. It could be writing a blog post or a letter to a friend. It could be capitalizing the name of your illness, or all illnesses. It could be any of these things or others, whatever may be your personal comfort level.
For further reading about II Week, I encourage you to visit the II website and see what other bloggers are doing. If you have any ideas about raising awareness, I would love to hear them in the comments.
Find more videos like this on Illness-Disability-Healthcare-Caregiver Ministry Network
Be well,
MJ
Sunday, August 17, 2008
a bullet-point update
I'm a bit behind on posting, so let's see if I can summarize in a concise way.
Be well,
MJ
- The July Pain Blog Carnival, over at How To Cope With Pain. I didn't submit an entry this month, but it's still got some great reads.
- On a related note, How To Cope With Pain is accepting entries for the August Pain Blog Carnival. No theme, just your favorite post. The deadline is August 22, so submit your entry here.
- The August Headache and Migraine Blog Carnival at Diana Lee's Somebody Heal Me. This month's theme is "when people don't 'get' Migraine disease". Some great reads here as well (I'm still working through it). Once again, yours truly missed the submission deadline, so you'll have to wait for next month to see me included.
- Diana Lee is now accepting entries for September's Headache and Migraine Blog Carnival. September's theme is "your best tips on improving communication between patients and their doctors". Entries are due by September 5, and you can submit them here.
- Marijke Durning over at Help My Hurt has a new feature, the Topic of the Month. This month's is "how can you find help for your pain?" Check it out and comment with your ideas here.
- Another plug for Help My Hurt. Marijke posted about the closing of the midwifery program at Miami Dade College in Florida. Read her full post here, including what you can do to help protect a woman's right to choose her method of delivery.
- If you're a blogger on chronic illness, be sure to check out Invisible Illness Blog's call for submissions. National Invisible Illness week is coming up next month, and it's up to us to publicize it! Any CI sufferer, or their loved ones, will find great information at their website, here.
Be well,
MJ
Monday, July 14, 2008
July's headache carnival is posted!
The July Headache Blog Carnival - How Spirituality Helps Us Cope with Migraine Disease - has been posted over at Diana Lee's Somebody Heal Me. Yours truly has submitted an entry, along with many other worthwhile entries I'm still working through.
Generally speaking, a blog carnival is a collection of links to a variety of a blogs on a central topic. The Headache & Migraine Disease Blog Carnival has been created to provide both headache and migraine disease patients and people who blog about headache disorders with unique opportunities to share ideas on topics of particular interest and importance to us. Visit the link to this month's carnival for a collection of informative entries on how spirituality helps us cope with migraines and headaches.
Be well,
MJ
Generally speaking, a blog carnival is a collection of links to a variety of a blogs on a central topic. The Headache & Migraine Disease Blog Carnival has been created to provide both headache and migraine disease patients and people who blog about headache disorders with unique opportunities to share ideas on topics of particular interest and importance to us. Visit the link to this month's carnival for a collection of informative entries on how spirituality helps us cope with migraines and headaches.
Be well,
MJ
Tuesday, May 27, 2008
migraineurs and CFLs: a crucial public health issue
I have posted quite a bit around the web on this subject, and even about my personal struggles with fluorescent lighting, but until today, I have not mentioned an important petition regarding migraineurs and compact fluorescent lightbulbs (commonly called CFLs) - at least, until now.
First, some background: in December 2007, the US Congress passed the Energy Independence & Security Act of 2007, a comprehensive piece of legislation designed to decrease our country's gobbling-up of energy. Buried in this was a mandate to phase out all incandescent lighting by 2012.
The idea behind this particular piece of the law is that incandescent lighting is incredibly inefficient, and more efficient forms of lighting are already available on the market. By 2012, when US consumers are no longer able to buy regular incandescent bulbs, they will have to buy more efficient forms of lighting, thus reducing our energy consumption even if no one's energy consumption habits change. In other words, if you're one of those people who leaves lights on 15 hours out of the day, by using CFLs instead of incandescents, you'll cut your energy consumption (and electric bill) rather significantly without much effort on your part.
Sounds good, right? It all is - in theory.
Here's the problem. For many migraineurs, myself included, CFLs trigger debilitating migraine attacks. CFLs also have been shown anecdotally to cause health issues for other people, including those with epilepsy and lupus. So while none of us will argue with the importance of being "green", CFLs are not a viable option for us.
Unfortunately, with currently available technology, CFLs are the easiest replacement to make. They are made to fit in traditional lamp sockets and, while more expensive than incandescents, are still in a close enough price range that most consumers will choose these over other options.
Like many other migraineurs, this legislation truly worries me. If 2012 rolls around and incandescent bulbs become unavailable, I will not have many viable options. I can live my life in the dark, I can live by candlelight, or I can invest in significantly more expensive technologies, like light-emitting diodes (LEDs), that are also not ideal for typical household use.
Here's the thing: with the way the law is currently written, none of this is likely to change in the next four years. And that's why the Migraine Disease & Headache Bloggers Association has stepped up and written a petition to Congress.
Instead of outlawing incandescent lighting completely, we are asking Congress to amend their legislation, focusing on energy efficiency standards that all lighting would be required to meet. These standards would allow lighting manufacturers to continue to make incandescent lighting, but require them to find ways to make them more efficient. This would also allow CFLs to stay on the market, as well as encourage other new technologies to develop. By focusing on energy standards rather than specific technologies, the amended law would no longer be a knee-jerk reaction to the green craze. Instead, it would be a future-thinking law that will allow flexibility of technology, while still meeting the intent of the original law.
Migraineurs are not opposed to the use of CFLs - that is, unless we've determined this type of lighting is a trigger and we're being forced to use it in our own home. Many of us are trying to find ways to shrink our carbon footprints. We should not be forced to suffer because of a well-intentioned piece of legislation passed by Congress. This is a national health issue, affecting many of the 36 million American migraineurs. Surely we should have some choice about our home lighting? Surely we should not be completely eliminated from public life because of a lack of knowledge about the health issues associated with CFLs?
I ask all of you to take a minute and sign our petition, which you can find here: protect migraineurs from CFLs. Please pass this along to all those in your life. It's likely some of them are migraineurs, and they may not even know they're affected by CFLs.
For more information about energy efficiency in your own home, please see the US Department of Energy's great website, Energy Efficiency and Renewable Energy. In particular, Types of Lighting is an excellent basic overview.
For further reading, please see these posts by my fellow migraine bloggers:
-MJ
First, some background: in December 2007, the US Congress passed the Energy Independence & Security Act of 2007, a comprehensive piece of legislation designed to decrease our country's gobbling-up of energy. Buried in this was a mandate to phase out all incandescent lighting by 2012.
The idea behind this particular piece of the law is that incandescent lighting is incredibly inefficient, and more efficient forms of lighting are already available on the market. By 2012, when US consumers are no longer able to buy regular incandescent bulbs, they will have to buy more efficient forms of lighting, thus reducing our energy consumption even if no one's energy consumption habits change. In other words, if you're one of those people who leaves lights on 15 hours out of the day, by using CFLs instead of incandescents, you'll cut your energy consumption (and electric bill) rather significantly without much effort on your part.
Sounds good, right? It all is - in theory.
Here's the problem. For many migraineurs, myself included, CFLs trigger debilitating migraine attacks. CFLs also have been shown anecdotally to cause health issues for other people, including those with epilepsy and lupus. So while none of us will argue with the importance of being "green", CFLs are not a viable option for us.
Unfortunately, with currently available technology, CFLs are the easiest replacement to make. They are made to fit in traditional lamp sockets and, while more expensive than incandescents, are still in a close enough price range that most consumers will choose these over other options.
Like many other migraineurs, this legislation truly worries me. If 2012 rolls around and incandescent bulbs become unavailable, I will not have many viable options. I can live my life in the dark, I can live by candlelight, or I can invest in significantly more expensive technologies, like light-emitting diodes (LEDs), that are also not ideal for typical household use.
Here's the thing: with the way the law is currently written, none of this is likely to change in the next four years. And that's why the Migraine Disease & Headache Bloggers Association has stepped up and written a petition to Congress.
Instead of outlawing incandescent lighting completely, we are asking Congress to amend their legislation, focusing on energy efficiency standards that all lighting would be required to meet. These standards would allow lighting manufacturers to continue to make incandescent lighting, but require them to find ways to make them more efficient. This would also allow CFLs to stay on the market, as well as encourage other new technologies to develop. By focusing on energy standards rather than specific technologies, the amended law would no longer be a knee-jerk reaction to the green craze. Instead, it would be a future-thinking law that will allow flexibility of technology, while still meeting the intent of the original law.
Migraineurs are not opposed to the use of CFLs - that is, unless we've determined this type of lighting is a trigger and we're being forced to use it in our own home. Many of us are trying to find ways to shrink our carbon footprints. We should not be forced to suffer because of a well-intentioned piece of legislation passed by Congress. This is a national health issue, affecting many of the 36 million American migraineurs. Surely we should have some choice about our home lighting? Surely we should not be completely eliminated from public life because of a lack of knowledge about the health issues associated with CFLs?
I ask all of you to take a minute and sign our petition, which you can find here: protect migraineurs from CFLs. Please pass this along to all those in your life. It's likely some of them are migraineurs, and they may not even know they're affected by CFLs.
For more information about energy efficiency in your own home, please see the US Department of Energy's great website, Energy Efficiency and Renewable Energy. In particular, Types of Lighting is an excellent basic overview.
For further reading, please see these posts by my fellow migraine bloggers:
- Teri Robert, Lighting, CFLs and Migraine Triggers
- Megan Oltman, Protect Migraineurs from Compact Fluorescents
- Megan Oltman, Alternatives to Compact Fluorescents - for Migraineurs and the Rest of You!
- Diana Lee, Please Sign CFL Petition to Protect Migraineurs
- Help My Hurt, Saving Energy May Be Causing Some Migraines
- RainGem, Fluorescent Lights as Migraine Triggers - the Petition
- My Life with Migraine, Protect Migraineurs from Compact Fluorescent Light Bulbs
- Pink Pearl Girl, Migraine and the Energy Independence & Security Act of 2007
- The Migraine Girl, Urgent: a Petition
-MJ
Sunday, May 11, 2008
communication
I'm not one to normally post much migraine-related news, but I couldn't pass this one up.
Dr Alexander Mauskop over at Headache NewsBlog recently cited a study done by Dr Richard Lipton and his colleagues, showing that doctors often don't hear out their migraine patients. This may come as no surprise to many of us that there is this breakdown in communication between doctors and patients.
The problem seems to be (from my reading of his short blurb) that many doctors ask close-ended questions of the "yes or no" variety. More useful would be "open-ended" questions that would require a longer response from the patient, a chance to explain.
Unfortunately, the problem doesn't end there. The information the doctors did obtain from the patients was often incorrect, and tended to make the patient's disability to be less than it actually was. Meaning preventive medication was often not discussed or prescribed when it may have been appropriate.
So what is a migraine patient to do? Many of us know the frustration of having a doctor not listen to us. In fact, that is much of the reason I fired neuro #3.
First, I'll link you to a couple of great articles over at My Migraine Connection, courtesy of Teri Robert:
What I bring with me to my appointment:
Another suggestion that's been made is to take a tape recorder and record the appointment. Inevitably, no matter how well-prepared you are or how well you listen and take notes, you're bound to miss something. By recording the appointment, you can go back later and listen through the appointment. I plan to try this at my appointment with my new specialist coming up soon.
Communication is a big challenge in any relationship. In a doctor-patient relationship, it is one of the biggest challenges and most important skills. Because our migraines can't really be "seen" or "measured" for the most part, it is up to us, the patients, to communicate as best as we can. Going into an appointment well-prepared is a great first step.
Obviously communication is a two-way street. Sometimes a patient just can't overcome a doctor's inability or unwillingness to listen, and that's when it is time to move on.
Do you have any other suggestions? Please comment - I would love to hear them and share them with the rest of the migraine community.
EDIT: Dr Lipton's original study can be found on PubMed. I haven't had a chance to take a look at it yet, but I'll post the links here for you folks. In Office Discussions of Migraine: Results from the American Migraine Communication Study. Thanks to Dr Mauskop for providing me with the link.
-MJ
Dr Alexander Mauskop over at Headache NewsBlog recently cited a study done by Dr Richard Lipton and his colleagues, showing that doctors often don't hear out their migraine patients. This may come as no surprise to many of us that there is this breakdown in communication between doctors and patients.
The problem seems to be (from my reading of his short blurb) that many doctors ask close-ended questions of the "yes or no" variety. More useful would be "open-ended" questions that would require a longer response from the patient, a chance to explain.
Unfortunately, the problem doesn't end there. The information the doctors did obtain from the patients was often incorrect, and tended to make the patient's disability to be less than it actually was. Meaning preventive medication was often not discussed or prescribed when it may have been appropriate.
So what is a migraine patient to do? Many of us know the frustration of having a doctor not listen to us. In fact, that is much of the reason I fired neuro #3.
First, I'll link you to a couple of great articles over at My Migraine Connection, courtesy of Teri Robert:
- Migraineur's Guide to a Successful Doctor's Appointment
- Coping With Busy Doctors
- Is Your Doctor Right For You?
What I bring with me to my appointment:
- Bulleted list of my relevant health history, including approximate dates of diagnosis.
- List of my typical migraine symptoms.
- List of my migraine triggers: suspected, confirmed and stackable.
- List of medications I've tried: including dates, dosage, results and side effects.
- List of therapies I've tried: including dates and results.
- List of lifestyle changes I've made: including dates and results.
- List of all current medications and supplements I'm taking: both prescription and OTC, including dosages.
- For my current preventives, a list of the side effects.
- List of concerns and questions, typed, with space left between the questions so I can write my doctor's answers.
- Headache diary. I keep a daily diary and summarize it onto a monthly sheet. I bring both to my appointment and give a copy of the monthly sheet to my doctor. On the summary sheet, I note days I had a migraine, when it started, migraine symptoms, pain and disability levels on a 0-10 scale, any change in medication, abortives I've taken and medication side effects. I also track my menstrual cycle on here, even though I don't seem to have menstrual migraines. I've developed some shorthand abbreviations for this information, so I note that on the bottom of each sheet.
Another suggestion that's been made is to take a tape recorder and record the appointment. Inevitably, no matter how well-prepared you are or how well you listen and take notes, you're bound to miss something. By recording the appointment, you can go back later and listen through the appointment. I plan to try this at my appointment with my new specialist coming up soon.
Communication is a big challenge in any relationship. In a doctor-patient relationship, it is one of the biggest challenges and most important skills. Because our migraines can't really be "seen" or "measured" for the most part, it is up to us, the patients, to communicate as best as we can. Going into an appointment well-prepared is a great first step.
Obviously communication is a two-way street. Sometimes a patient just can't overcome a doctor's inability or unwillingness to listen, and that's when it is time to move on.
Do you have any other suggestions? Please comment - I would love to hear them and share them with the rest of the migraine community.
EDIT: Dr Lipton's original study can be found on PubMed. I haven't had a chance to take a look at it yet, but I'll post the links here for you folks. In Office Discussions of Migraine: Results from the American Migraine Communication Study. Thanks to Dr Mauskop for providing me with the link.
-MJ
Saturday, May 10, 2008
stroke awareness month
May is Stroke Awareness Month. Pam over at Pink Pearl Girl's Migraine World wrote a great blog entry about stroke, so instead of repeating everything she wrote, I'll link you to it.
Migraine symptoms can often mimic stroke, so I'll remind all my fellow migraineurs out there to have any new symptoms checked out immediately by a doctor. If your symptoms mimic a stroke and are new to you, don't hesitate - call 911 and get help. I had a scary experience of this myself last month, and while I turned out to be okay, I don't for a minute regret having DBF call 911 for me. When dealing with the brain, you don't want to mess around!
-MJ
Migraine symptoms can often mimic stroke, so I'll remind all my fellow migraineurs out there to have any new symptoms checked out immediately by a doctor. If your symptoms mimic a stroke and are new to you, don't hesitate - call 911 and get help. I had a scary experience of this myself last month, and while I turned out to be okay, I don't for a minute regret having DBF call 911 for me. When dealing with the brain, you don't want to mess around!
-MJ
Friday, May 9, 2008
weirdest migraine trigger contest winners announced
Fellow migraine blogger Megan Oltman of Free My Brain From Migraine Pain held a contest last month looking for the weirdest migraine trigger stories. The contest was judged by Diana Lee of Somebody Heal Me and Kerrie Smyres of The Daily Headache.
I must be in a contest-winning mood or something, because Kerrie and Diana decided my story was worthy of second place!
You can check out my weirdest trigger and the other winners over at Megan's announcement of the winners.
-MJ
I must be in a contest-winning mood or something, because Kerrie and Diana decided my story was worthy of second place!
You can check out my weirdest trigger and the other winners over at Megan's announcement of the winners.
-MJ
Tuesday, May 6, 2008
May Headache & Migraine Disease Blog Carnival
MAY HEADACHE & MIGRAINE DISEASE BLOG CARNIVAL
Somebody Heal Me
Don't forget to submit your entries for the May Headache & Migraine Blog Carnival, which is being hosted at Atomic City.
The May theme is "Migraines and Exercise: How Do You Remain Active?" Entries on any topic that is particularly interesting, educational or inspirational for headache & migraine sufferers are also welcome. Your blog need not be limited to the topic of headaches and migraines to participate. If you have relevant posts to share, you're encouraged pass them along.
Entries are due at midnight on Friday, May 9th. They may be submitted through the form on the carnival website or directly to Diana by e-mail.
The carnival will be published on Atomic City on Monday, May 12th.
If you would like to be added to Diana's carnival mailing list to receive updates and reminders or are interested in hosting a future edition, please send Diana an e-mail at somebodyhealme (at) dianalee (dot) net.
Somebody Heal Me
Don't forget to submit your entries for the May Headache & Migraine Blog Carnival, which is being hosted at Atomic City.
The May theme is "Migraines and Exercise: How Do You Remain Active?" Entries on any topic that is particularly interesting, educational or inspirational for headache & migraine sufferers are also welcome. Your blog need not be limited to the topic of headaches and migraines to participate. If you have relevant posts to share, you're encouraged pass them along.
Entries are due at midnight on Friday, May 9th. They may be submitted through the form on the carnival website or directly to Diana by e-mail.
The carnival will be published on Atomic City on Monday, May 12th.
If you would like to be added to Diana's carnival mailing list to receive updates and reminders or are interested in hosting a future edition, please send Diana an e-mail at somebodyhealme (at) dianalee (dot) net.
Monday, April 28, 2008
headache poetry contest winners announced
The 2008 Migraine and Headache Poetry Contest winners have been announced over at MMC, and I am very excited to announce that my poem won third place!
Teri Robert's announcement can be found here, which links to all of the winners and honorable mentions, as well as all of the poems submitted this year.
I encourage you to check them out - there were some great entries this year!
Teri Robert's announcement can be found here, which links to all of the winners and honorable mentions, as well as all of the poems submitted this year.
I encourage you to check them out - there were some great entries this year!
Friday, April 25, 2008
photophobia and fluorescent lighting: a quest
Like many other migraineurs, I suffer from photophobia, a sensitivity to light. My photophobia is constant, and gets worse as my pain gets worse, but since I've been living with this particular migraine since November, the photophobia has been particularly stubborn as well.
Also like many other migraineurs, I cannot tolerate fluorescent lighting. Part of the issue is the color of the light itself: the fluorescents at my office are tinted a warmer yellow, which I can live with, as opposed to the horrendous (and cheaper) blue-white found in many stores. These fluorescents not only immediately worsen my migraine pain, dizziness and nausea, but also have an unpleasant tendency of sending me running to the nearest bathroom with soupey poopies within 15 minutes. If my office had this blue-white lighting, I would have had to leave my job already.
Unfortunately, the tint is not the entire story. The imperceptible flicker of fluorescents is enough to drive the sensitive migraine brain wacko. This makes it a particularly difficult problem to deal with. Many of us cope by wearing sunglasses, or tinted glasses, but this is not always a viable option for me since I work in a field where I regularly meet with clients and consultants, so wearing sunglasses to these meetings would not be appropriate. It also doesn't do anything for the flicker, really, just gives our eyes a break from the brightness of the lighting.
What is a migraineur to do?
Fortunately, the woman in charge of office services at my office is also a migraineur, so she was able to help me get the fixtures over my cube turned off. This makes it possible for me to get through a workday without being miserable. It does nothing, however, for the fluorescents in our conference rooms or in the rest of our office.
Some months ago, I came across mention of the use of Nike Maxsight tinted contact lenses as a way to ease light sensitivity in Dr Alexander Mauskop's Headache NewsBlog. This reference simmered in the back of my head for a while, and I have since come across other mentions of the use of contacts to address light sensitivity. The Migraine Girl asked in an entry about MigraLens and Irlen contacts specifically for combating fluorescent lighting sensitivity.
After much Googling, I finally scheduled an appointment with my ophthalmologist when I discovered that his office carries the Nike lenses. I'll also note here that Nike discontinued these lenses a few months ago, but I figured I could at least schedule the appointment and talk with the eye doc and see if he had any suggestions. Who knows, the Nike lenses could be my saviors, and I would just order them in bulk from an internet supplier.
I went in for my appointment two and a half weeks ago with my eye doc, and explained my problem. He thought for a few minutes, then came out with a surprising statement - he had a few ideas, and he wasn't sure what would work but he was willing to work with me until we found a reasonable solution. He specializes in contact lenses, so I felt somewhat confident in his statement. He had some trial Nike lenses at his other office that he would look through to see if he could find any for me, and he would also dig up some other trial tinted lenses - just regular cosmetic FreshLook lenses with a slight tint - for me to try.
By the end of that week, he had the Nike lenses ready for me. He scheduled a two-week follow-up appointment with me, to give me time to try out the lenses.
First reaction: they make me look like some sort of demonic beastie (migraine beastie, maybe?). The ones I tried are the grey-green tint, which actually wash my eyes out to black. A very strange effect, but one I would put up with if they solved the fluorescent lighting problem. I would even put up with the startled coworkers.
Unfortunately, I only made it a few days with the lenses. I discovered my brain started to freak out after wearing them for about six hours. The tinting in them was too strange a color for all-day wear. (Imagine the color of bug lights - that's what color these lenses made everything.) This tint was especially pronounced on cloudy days, and we have a lot of those here in the Pacific Northwest. I also had a run of several severe migraine days, which may or may not be related to the lenses. They did help out a lot with sunlight though, when worn under my regular sunglasses, so it wasn't a total loss.
I had my follow-up appointment with my eye doc today. He offered me another, much more expensive option, which is prosthetic lenses. With these custom lenses, he can control exactly how much light is allowed into my eye, and I will not see any sort of a tint. He took some measurements of my eyes for these lenses and told me my pupils seem to dilate more than they should (not surprising - they also dilate unevenly depending on the severity of my migraine).
I feel these are a better option for me than the Nike lenses, but custom = expensive. He's taking a look into pricing for me and his office will call before they order them. The price tag should come in somewhere under $1000 - I may be able to get some medical insurance coverage for this, but it's not likely. (My vision insurance is basically only enough to cover my annual exam.)
I will be seeing my new headache specialist in just under a month, and I plan to pick his brain about this, at least because I want to see if he'll write a letter of medical necessity. He may have some other ideas too, who knows. The nice thing about these lenses is that they will reduce the amount of light entering my eyes in the periphery, which I think may help quite a bit with the fluorescent lighting issue. It won't solve it - really, nothing short of avoidance or removal will - but it's something.
Before I make this much of an investment, I will be doing some thinking about this. A part of me had hoped that my migraines would resolve somewhat quickly so I wouldn't have to deal with the photophobia/fluorescent lighting issue. But that is not likely to happen, and I need to find some ways to make my life more livable in the meantime.
Crazy idea? Maybe. As a side note, more blog space will be devoted to the fluorescent lighting issue in the future, on the advocacy side of things. Stay tuned for updates.
Also like many other migraineurs, I cannot tolerate fluorescent lighting. Part of the issue is the color of the light itself: the fluorescents at my office are tinted a warmer yellow, which I can live with, as opposed to the horrendous (and cheaper) blue-white found in many stores. These fluorescents not only immediately worsen my migraine pain, dizziness and nausea, but also have an unpleasant tendency of sending me running to the nearest bathroom with soupey poopies within 15 minutes. If my office had this blue-white lighting, I would have had to leave my job already.
Unfortunately, the tint is not the entire story. The imperceptible flicker of fluorescents is enough to drive the sensitive migraine brain wacko. This makes it a particularly difficult problem to deal with. Many of us cope by wearing sunglasses, or tinted glasses, but this is not always a viable option for me since I work in a field where I regularly meet with clients and consultants, so wearing sunglasses to these meetings would not be appropriate. It also doesn't do anything for the flicker, really, just gives our eyes a break from the brightness of the lighting.
What is a migraineur to do?
Fortunately, the woman in charge of office services at my office is also a migraineur, so she was able to help me get the fixtures over my cube turned off. This makes it possible for me to get through a workday without being miserable. It does nothing, however, for the fluorescents in our conference rooms or in the rest of our office.
Some months ago, I came across mention of the use of Nike Maxsight tinted contact lenses as a way to ease light sensitivity in Dr Alexander Mauskop's Headache NewsBlog. This reference simmered in the back of my head for a while, and I have since come across other mentions of the use of contacts to address light sensitivity. The Migraine Girl asked in an entry about MigraLens and Irlen contacts specifically for combating fluorescent lighting sensitivity.
After much Googling, I finally scheduled an appointment with my ophthalmologist when I discovered that his office carries the Nike lenses. I'll also note here that Nike discontinued these lenses a few months ago, but I figured I could at least schedule the appointment and talk with the eye doc and see if he had any suggestions. Who knows, the Nike lenses could be my saviors, and I would just order them in bulk from an internet supplier.
I went in for my appointment two and a half weeks ago with my eye doc, and explained my problem. He thought for a few minutes, then came out with a surprising statement - he had a few ideas, and he wasn't sure what would work but he was willing to work with me until we found a reasonable solution. He specializes in contact lenses, so I felt somewhat confident in his statement. He had some trial Nike lenses at his other office that he would look through to see if he could find any for me, and he would also dig up some other trial tinted lenses - just regular cosmetic FreshLook lenses with a slight tint - for me to try.
By the end of that week, he had the Nike lenses ready for me. He scheduled a two-week follow-up appointment with me, to give me time to try out the lenses.
First reaction: they make me look like some sort of demonic beastie (migraine beastie, maybe?). The ones I tried are the grey-green tint, which actually wash my eyes out to black. A very strange effect, but one I would put up with if they solved the fluorescent lighting problem. I would even put up with the startled coworkers.
Unfortunately, I only made it a few days with the lenses. I discovered my brain started to freak out after wearing them for about six hours. The tinting in them was too strange a color for all-day wear. (Imagine the color of bug lights - that's what color these lenses made everything.) This tint was especially pronounced on cloudy days, and we have a lot of those here in the Pacific Northwest. I also had a run of several severe migraine days, which may or may not be related to the lenses. They did help out a lot with sunlight though, when worn under my regular sunglasses, so it wasn't a total loss.
I had my follow-up appointment with my eye doc today. He offered me another, much more expensive option, which is prosthetic lenses. With these custom lenses, he can control exactly how much light is allowed into my eye, and I will not see any sort of a tint. He took some measurements of my eyes for these lenses and told me my pupils seem to dilate more than they should (not surprising - they also dilate unevenly depending on the severity of my migraine).
I feel these are a better option for me than the Nike lenses, but custom = expensive. He's taking a look into pricing for me and his office will call before they order them. The price tag should come in somewhere under $1000 - I may be able to get some medical insurance coverage for this, but it's not likely. (My vision insurance is basically only enough to cover my annual exam.)
I will be seeing my new headache specialist in just under a month, and I plan to pick his brain about this, at least because I want to see if he'll write a letter of medical necessity. He may have some other ideas too, who knows. The nice thing about these lenses is that they will reduce the amount of light entering my eyes in the periphery, which I think may help quite a bit with the fluorescent lighting issue. It won't solve it - really, nothing short of avoidance or removal will - but it's something.
Before I make this much of an investment, I will be doing some thinking about this. A part of me had hoped that my migraines would resolve somewhat quickly so I wouldn't have to deal with the photophobia/fluorescent lighting issue. But that is not likely to happen, and I need to find some ways to make my life more livable in the meantime.
Crazy idea? Maybe. As a side note, more blog space will be devoted to the fluorescent lighting issue in the future, on the advocacy side of things. Stay tuned for updates.
Sunday, April 20, 2008
betrayed by my own head
A few months ago, I read a book by Michael Stein, MD, called The Lonely Patient: How We Experience Illness. While much of this book is framed in the author's experience with terminal illness (not his own, but that in his family), he does speak to chronic pain throughout. He divides the book into four parts, corresponding to the four reactions he sees to chronic illness: betrayal, terror, loss and loneliness. Betrayal is certainly one of the emotional reactions I seem to revisit frequently on my journey toward acceptance of this disease.
This weekend - Saturday night, especially - was another visit of betrayal.
Over the past two years, my chronic daily headache has gradually become daily migraines, and now a continual migraine since about the end of November. On one hand, this has taken away the unexpected and often frustrating aspect of episodic migraine, which is you just never know when it might strike. I always know when it will strike, which is always. I wake up with the pain, I eat, breathe, work, think, walk, do and sleep with the pain. It's there, a constant resident in my brain, whether I like it or not. I'm doing what I can to dislodge it, but in the meantime, I'm stuck.
My brain decided to play a new trick on me Saturday night.
DBF and I were curled up on the couch after dinner, watching tv, when I had this weird wave of dizziness pass over me, followed by pins and needles all over and a sort of hot flash. Then the tingling settled in on just the left side of my body (arm and leg). After a few minutes, when it didn't pass, I started to get rather scared. Something isn't right, my instincts are telling me.
You see, a migraine that lasts longer than 72 hours, without at least a 4-hour break in pain while awake is status migrainous, considered a medical emergency because it puts the migraineur at increased risk of migrainous stroke. Having had this particular migraine since last November, I pay extra attention to new symptoms. And like any educated migraineur, I know the symptoms of a stroke.
So, I told DBF what was going on, that I was scared. We decided to call 911. He told the dispatcher what was going on, described my symptoms and told them how long my migraine had been going on. The paramedics got here relatively quickly - though it seemed like an eternity, of course - and checked my vitals while they asked me some questions about my symptoms. They left the decision up to me whether they would bring me into the hospital or not, but they saw nothing life-threatening that concerned them. They did remind me that they are only firemen, of course, not doctors. I decided not to go with them.
I did call the doctor on-call at my fired specialist's office to see if he thought I should seek emergency attention. He spoke with me for probably ten minutes, asked some questions about my symptoms, about my IV treatment on Friday, including which drugs they had given me, when, and if I had had them before; as well as if I had had these symptoms before. He also checked to see if I had had an MRI before (I had one a month ago that came back normal). He believes these new symptoms to be another manifestation of this ongoing migraine and described it as "complicated migraine", which is a descriptive term (not a standard diagnosis). He did not see any need for me to seek immediate care, but did encourage me to call my doctor today.
As unpredictable as this illness often is, we still expect it to follow a certain pattern. My pain is usually here, I usually have these symptoms, I usually get a migraine after encountering these triggers. Whenever our disease breaks the pattern, it's frightening for one thing, but we are also left with a sense of betrayal. Migraine beast, it's hard enough to cope with you on a normal day, but why do you have to change your pattern?
The tingling has not gone away since Saturday night, but I also have not developed any new symptoms. The doc on call told me some specific things to watch for that would indicate a need for immediate medical attention. I called into the nurse's line this morning and left a message about these new symptoms; I got a call back asking for some more information, and letting me know the message would be passed along to my (fired) specialist tomorrow since she was already gone for the day. (Another sign that I know I made the right choice in firing this doctor - unfortunately she's all I've got until May 21 when I see the new guy.)
The good news is, I know I can rely on DBF in case of emergency. He took me seriously and didn't question the need to call 911. He kept me calm while we were waiting for the medics and when it was all said and done, gave me a big hug when I started to cry. And cheered me up by making me laugh. Because this whole thing freaked me out.
So, a reminder to all of you fellow migraineurs out there: if any new, unexpected or worrisome symptoms crop up - even if they are just new symptoms - please check with your doctor at the very least. When we are dealing with brain issues, it is much better to just have things checked out.
-MJ
This weekend - Saturday night, especially - was another visit of betrayal.
Over the past two years, my chronic daily headache has gradually become daily migraines, and now a continual migraine since about the end of November. On one hand, this has taken away the unexpected and often frustrating aspect of episodic migraine, which is you just never know when it might strike. I always know when it will strike, which is always. I wake up with the pain, I eat, breathe, work, think, walk, do and sleep with the pain. It's there, a constant resident in my brain, whether I like it or not. I'm doing what I can to dislodge it, but in the meantime, I'm stuck.
My brain decided to play a new trick on me Saturday night.
DBF and I were curled up on the couch after dinner, watching tv, when I had this weird wave of dizziness pass over me, followed by pins and needles all over and a sort of hot flash. Then the tingling settled in on just the left side of my body (arm and leg). After a few minutes, when it didn't pass, I started to get rather scared. Something isn't right, my instincts are telling me.
You see, a migraine that lasts longer than 72 hours, without at least a 4-hour break in pain while awake is status migrainous, considered a medical emergency because it puts the migraineur at increased risk of migrainous stroke. Having had this particular migraine since last November, I pay extra attention to new symptoms. And like any educated migraineur, I know the symptoms of a stroke.
So, I told DBF what was going on, that I was scared. We decided to call 911. He told the dispatcher what was going on, described my symptoms and told them how long my migraine had been going on. The paramedics got here relatively quickly - though it seemed like an eternity, of course - and checked my vitals while they asked me some questions about my symptoms. They left the decision up to me whether they would bring me into the hospital or not, but they saw nothing life-threatening that concerned them. They did remind me that they are only firemen, of course, not doctors. I decided not to go with them.
I did call the doctor on-call at my fired specialist's office to see if he thought I should seek emergency attention. He spoke with me for probably ten minutes, asked some questions about my symptoms, about my IV treatment on Friday, including which drugs they had given me, when, and if I had had them before; as well as if I had had these symptoms before. He also checked to see if I had had an MRI before (I had one a month ago that came back normal). He believes these new symptoms to be another manifestation of this ongoing migraine and described it as "complicated migraine", which is a descriptive term (not a standard diagnosis). He did not see any need for me to seek immediate care, but did encourage me to call my doctor today.
As unpredictable as this illness often is, we still expect it to follow a certain pattern. My pain is usually here, I usually have these symptoms, I usually get a migraine after encountering these triggers. Whenever our disease breaks the pattern, it's frightening for one thing, but we are also left with a sense of betrayal. Migraine beast, it's hard enough to cope with you on a normal day, but why do you have to change your pattern?
The tingling has not gone away since Saturday night, but I also have not developed any new symptoms. The doc on call told me some specific things to watch for that would indicate a need for immediate medical attention. I called into the nurse's line this morning and left a message about these new symptoms; I got a call back asking for some more information, and letting me know the message would be passed along to my (fired) specialist tomorrow since she was already gone for the day. (Another sign that I know I made the right choice in firing this doctor - unfortunately she's all I've got until May 21 when I see the new guy.)
The good news is, I know I can rely on DBF in case of emergency. He took me seriously and didn't question the need to call 911. He kept me calm while we were waiting for the medics and when it was all said and done, gave me a big hug when I started to cry. And cheered me up by making me laugh. Because this whole thing freaked me out.
So, a reminder to all of you fellow migraineurs out there: if any new, unexpected or worrisome symptoms crop up - even if they are just new symptoms - please check with your doctor at the very least. When we are dealing with brain issues, it is much better to just have things checked out.
-MJ
Saturday, April 19, 2008
coming out of the (migraine) closet: a borrowed subject
Fellow migraineur and blogger, Megan Oltman, wrote an excellent post yesterday (as always) about coming out of the migraine closet. She makes the analogy of living publicly with this disease, of coming out with it like coming out with sexual orientation, and the need for education as a path to acceptance. She's right - the only way we migraineurs will ever get the compassion we deserve is through understanding, which will only come after education. And it's up to us.
Megan is doing an outstanding job, I think, of living out in the open with migraine disease. She doesn't hide her migraines, doesn't apologize for them, and does her best to ask for reasonable accommodations as she needs them. She educates those around her without preaching. I'm sure like the rest of us she still encounters those who just don't "get it", but that's to be expected. I give her a lot of credit for living her disease so publicly, because I'm not there yet.
I'm still in the migraine closet, so to speak.
For the most part, I don't discuss my disease. My boss and team at work know that I get migraines, but that's about the extent of it. I did print out some information about migraines from MMC and AHDA - including "What is a Migraine?", Understanding Migraineurs letter and the AHDA flier - to pin up outside my cubicle. Within the same week, I faced some incredibly insensitive comments from one of my coworkers, whom I promptly named "Mr Insensitive".
In college, I lost a lot of friends because of my migraines. At that time, I didn't even understand what I was going through, so I couldn't educate them. I thought I was just having sinus headaches. Along with the migraines came a bout with depression, and the friends I had were unwilling/unable to be a good support system at the time. Fair weather friends indeed.
I don't mean to make this into a sob story, but being burned in the past has made it difficult for me to be upfront with others in my life about the severity of my migraines, and I know I'm not alone in this. It's a subject we discuss every day on the MMC boards. Who do we tell? How do we tell them? How do we deal with those in our lives who don't get it? There is no one size fits all answer, that's for sure.
I've been working to educate those in my life who are close to me. DBF is reading Teri Robert's excellent book, Living Well With Migraine Disease and Headaches. I feed tidbits of information and articles to my mom. I sent the link to this blog to my sister. (Both my mom and sister, like most of the women on my mother's side of the family, are migraineurs.) Cliche though it may be, knowledge is indeed power.
So I may not be living openly and comfortably with my disease, but I'm getting there. One foot is poking out of the closet, at least.
-MJ
Thanks to Megs for a great topic!
Megan is doing an outstanding job, I think, of living out in the open with migraine disease. She doesn't hide her migraines, doesn't apologize for them, and does her best to ask for reasonable accommodations as she needs them. She educates those around her without preaching. I'm sure like the rest of us she still encounters those who just don't "get it", but that's to be expected. I give her a lot of credit for living her disease so publicly, because I'm not there yet.
I'm still in the migraine closet, so to speak.
For the most part, I don't discuss my disease. My boss and team at work know that I get migraines, but that's about the extent of it. I did print out some information about migraines from MMC and AHDA - including "What is a Migraine?", Understanding Migraineurs letter and the AHDA flier - to pin up outside my cubicle. Within the same week, I faced some incredibly insensitive comments from one of my coworkers, whom I promptly named "Mr Insensitive".
In college, I lost a lot of friends because of my migraines. At that time, I didn't even understand what I was going through, so I couldn't educate them. I thought I was just having sinus headaches. Along with the migraines came a bout with depression, and the friends I had were unwilling/unable to be a good support system at the time. Fair weather friends indeed.
I don't mean to make this into a sob story, but being burned in the past has made it difficult for me to be upfront with others in my life about the severity of my migraines, and I know I'm not alone in this. It's a subject we discuss every day on the MMC boards. Who do we tell? How do we tell them? How do we deal with those in our lives who don't get it? There is no one size fits all answer, that's for sure.
I've been working to educate those in my life who are close to me. DBF is reading Teri Robert's excellent book, Living Well With Migraine Disease and Headaches. I feed tidbits of information and articles to my mom. I sent the link to this blog to my sister. (Both my mom and sister, like most of the women on my mother's side of the family, are migraineurs.) Cliche though it may be, knowledge is indeed power.
So I may not be living openly and comfortably with my disease, but I'm getting there. One foot is poking out of the closet, at least.
-MJ
Thanks to Megs for a great topic!
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