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"inadequate response to treatments" (Read 9856 times)
MkeithD
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"inadequate response to treatments"
Jun 27th, 2008 at 5:07pm
 
There is a demon in my brain. uncontrollable, unstoppable, and it feels no pain because it is pain. I am rapidly running out of weapons to fight this thing. prednisone, verapamil, imitrex injections, zomig nasal spray, depakote, ocipital nerve block, indomethicin. All this and constant facial pain and daily attacks, thankfully the O2 clears them up, or at least makes it bearable until i can hit the tank again. I have been watching the forum for a month now since being diagnosed and consider myself lucky to have been diagnosed in only 3 months (tho i took 4 doctors and nearly being arrested in the ER). But know I'm having strange side effects- ringing ears, hearing loss lasting 2-4hours daily (and increasing in frequency) along with a strip of numbness across the top of my head. Today I am unable to get out of bed. no energy at all, blood pressure too low maybe? I tire of trying to figure out "why".

I would like to say hello to everyone, and say (don't think I have ever meant this more).....I FEEL YOUR PAIN! everyday around 2pm and 9pm....4 hours left.........not sure how much longer i can do this.

Peace, Love, and heres to the light at the end of the tunnel...whatever the hell waits for us there. >.< MKD >.<
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Ray
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Re: "inadequate response to treatments"
Reply #1 - Jun 28th, 2008 at 1:41am
 
Dear MkeithD:

It sounds like you're having a rough time.  Probably all of us have been in a place like you are now.  You have one tool, Oxygen, that seems to be helpful.  That's a start!

You may wish to visit a specialist who understands the headaches.  For a list of sufferer recommended doctors, try the following link from OUCH.

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Would you please provide a little more information about what testing has been done to provide you a diagnosis of CH?

Some of the symptoms you've described might indicate another problem in addition to CH.

Wishing you well,

Ray
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You have my prayers and compassion-I'm right there with you.

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*While we have the time, let us do good*

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MkeithD
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Re: "inadequate response to treatments"
Reply #2 - Jun 28th, 2008 at 10:03am
 
thx Ray nice to meetcha.

yeah its been rough. I'm currently being treated at jefferson hospital headache center in philadelphia and feel confident I'm in good hands. My doc is a little worried about my hearing loss, and tells me while I obviously have cluster headaches mine are not "typical" and the main concern right now is breaking the cycle. I have MRI's and other tests lined up to really get a handle on this thing, in the mean time i just struggle to endure this.

Thanks for the reply. it felt good to just dump this stuff on the net knowing the people here will understand.
MKD
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DennisM1045
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Re: "inadequate response to treatments"
Reply #3 - Jun 28th, 2008 at 10:35am
 
We certainly do understand.  I'm sorry the beast is giving you such a bad time.  I've heard good things about Jefferson.  Just stick with it.  They'll figure out something that'll work for you.  Just don't be shy about being in their face until they do. 

Hang tough brother.  And thanks for checking in.

-Dennis-
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Where there is life, there is hope.
Where there is Oxygen, you must use proper caution.
So be safe, don't smoke while using O2. Kill the pain and not yourself.
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Guiseppi
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Re: "inadequate response to treatments"
Reply #4 - Jun 28th, 2008 at 10:52am
 
Welcome to the nut house brother and vent away. Everybody gets to wander into the hole you're in right now where it feels like you're getting your ass beat on all fronts. Just don't give up, attitude is your best weapon.

Only one suggestion, I use lithium as a prevent, many who had their butts kicked on all other fronts found some degree of success with lithium/verapamil combo as a prevent. Might be worth trying. Hoping you catch a break soon.

Guiseppi
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Ray
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Re: "inadequate response to treatments"
Reply #5 - Jun 28th, 2008 at 12:18pm
 
Jefferson Hospital has a good reputation.  They should work with you to find a solution.  You might consider the DHE infusions to break your cycle, assuming that you don't have any heart conditions that might make that risky.

Wishing you well,

Ray
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You have my prayers and compassion-I'm right there with you.

Dum tempus habemus, operemur bonum

*While we have the time, let us do good*

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MkeithD
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Re: "inadequate response to treatments"
Reply #6 - Jun 28th, 2008 at 12:46pm
 
yeah thx ray (and everyone else!)

I do believe infusions are next on the list. after more MRI's and an explanation of this hearing loss i'm experiencing..

MKD
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Re: "inadequate response to treatments"
Reply #7 - Jun 28th, 2008 at 8:38pm
 
whats up mkd, coach bill from cleveland here. just wanna wish you best in your battle right now. coach bill
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boy i cant wait till it's my turn to give him a headache. paybacks a bitch
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coach_bill
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Re: "inadequate response to treatments"
Reply #8 - Jun 28th, 2008 at 8:42pm
 
And another thing i was curious about your hearing loss question, i get mass ear ringing when im in cluster period. I mean MASS ear ringing!! i ask my wife and kids if can they hear it too but they just look at me funny, my wife even said once it might be from the humm of the fridge, does anyone eles get serious ear ringing when in cycle or before a cluster, it seems to be a precurser for me. coach bill
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boy i cant wait till it's my turn to give him a headache. paybacks a bitch
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Re: "inadequate response to treatments"
Reply #9 - Jun 28th, 2008 at 10:34pm
 
hi

i am so sorry to hear of the hell that you are going through.
i was just at my MD's the other day and he asked me about the ringing in the ears and hearing loss thing, which i don't have, but i got the impression he was going somewhere with the questions. anyone know more about these symptoms and CH?
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Re: "inadequate response to treatments"
Reply #10 - Jun 28th, 2008 at 10:57pm
 
Seems like your going through a hell of a time.  Try to tough it out til there is some kind of solution.  I'm headed to Jefferson in a few weeks.  I am in Philly not sure if you are from the area.  Feel free to hit me up with a PM if you want to talk.  I've felt the desperation that CH can bring as most of us have.  Just stick with us here.  Amazing the support you get here from people you don't even know
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Re: "inadequate response to treatments"
Reply #11 - Jun 30th, 2008 at 6:34am
 
I'm so sorry that the beast is giving you dreadful time right now.

Wishing you lots of PF days,

Sanna
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MkeithD
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Re: "inadequate response to treatments"
Reply #12 - Jun 30th, 2008 at 1:01pm
 
i never expected this kind of response..a couple of "hey newbie" posts yeah, but not this! i cant express how much you all have helped me throo this weekend. i'll try to reply to everyone here.
the doc adjusted my meds this weekend, and cuttin the depakote seems to have helped with the earinging and hearing loss. which started 5 days after i had an ocipital nerve block, and uped the depakote. I never had it b4 then, tho my CH effects my ear/jaw/teeth and not my eye or temple.

again thx to everyone!!!!! it is great to not feel so lost in the pain. I see the doc tomorrow. i can't thank you all enough for giving me refuge from the pain......i hope you all are doing well......MKD
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MkeithD
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Re: "inadequate response to treatments"
Reply #13 - Jul 9th, 2008 at 10:10am
 
IT WAS THE DEPAKOTE!!

I'm off depakote, no more ear ringing or numbness! at the full dose of indomethicin.............NO ATTACKS SINCE MY LAST POST!!!!!!!

other meds still giving me side fx, but i look at pain completely different now. hahaha.

Getting back to normal? dare i hope?

feelin OK for now, MKD....thx again all of you!
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DennisM1045
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Re: "inadequate response to treatments"
Reply #14 - Jul 9th, 2008 at 10:13am
 
That's awesome news!  Glad you've found a combination that works for you.  Thanks for getting back to us. 

-Dennis-
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Where there is life, there is hope.
Where there is Oxygen, you must use proper caution.
So be safe, don't smoke while using O2. Kill the pain and not yourself.
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MkeithD
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Re: "inadequate response to treatments"
Reply #15 - Jul 9th, 2008 at 10:17am
 
thank you thank you, yes it is good! and i'm not goin anywhere. still got my eyes on the forums. just took a week off to get outside....and just hang around enjoying not living in fear of pain Wink
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Re: "inadequate response to treatments"
Reply #16 - Jul 10th, 2008 at 9:46am
 
Welcome!  I hope that your good news continues!

Jeannie
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MkeithD
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Re: "inadequate response to treatments"
Reply #17 - Jul 10th, 2008 at 10:00am
 
Thanks Jeannie! you are not the only one. Believe me! Its been a fairly insane 3 months. I've learned a lot about myself. and hope to be of some help to others, now that i have a grip on this.   

MKD
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Re: "inadequate response to treatments"
Reply #18 - Jul 15th, 2008 at 8:33pm
 
Hi MKD,

Just saw your thread now, having not been around the boards much for the past couple of weeks.  I have been going to Jefferson Headache Center for the past 7 years for new  daily persistent headache (basically chronic migraine) and chronic CH.  The CH, I've had since 2003, but the NDPH I've had since 2001.  Who is your doc at JHC?  I actually work at the hospital as a nurse and went to school there as well.  A few of us Philly folks are planning a get together in mid-September if you might be interested.

I'm glad that you figured out the depakote was causing the problem and that you are doing much better now on the indomethacin!  I have not had much luck at all in managing my headaches, and recently had surgery (also at Jefferson) to implant a bilateral occipital and right supraorbital nerve stimulator implant.  Working well, but only to be used as a last resort when everything else has failed.  I was out of work for 2 months after it, and things still aren't exactly normal yet, but I am having success finally in reducing headache pain (not removing headache pain, but reducing definitely!) with the nerve stimulator.

So anyway - if you ever want to meet up or need a hand from someone in the Philly area with quite a lot of experience navigating the headache world here, please don't hesitate to drop me a PM!  There are a few of us in the area who would be happy to help if needed.

Take care!
Carrie Smiley
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MkeithD
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Re: "inadequate response to treatments"
Reply #19 - Aug 7th, 2008 at 7:32am
 
hey lizzie2,

i had to take some time away from forums for a bit my self. indomethicin was causin me stomach problems so i had to ween off.....BAM...attacks the very next day Sad back onto a pred taper and i just finished 3 days of infusions*fingers crossed, yet again*

sounds like you've been throo the ringer quite a few times and i would not be opposed to getting together to swap stories for some perspective if nothing else. let me know what i need to do in order to meet with everyone in september.

may the pain overlook us all today. MKD
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Re: "inadequate response to treatments"
Reply #20 - Aug 8th, 2008 at 6:05pm
 
Hey MKD - glad the 02 is working.  Keep an eye on the Depakote - it often causes stomach problems too (many of the epilepsy meds do) - though often not enough to want to get off if it's helping!

Being that you're in Philly, if you ever feel like you've hit the end of the rope with your Doc, the Jefferson Headache Clinic is one of the better places in the country to seek treatment for your CH.

Wishing you PFDAN,

Laurie
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Re: "inadequate response to treatments"
Reply #21 - Aug 12th, 2008 at 3:53pm
 
coach_bill wrote on Jun 28th, 2008 at 8:42pm:
And another thing i was curious about your hearing loss question, i get mass ear ringing when im in cluster period. I mean MASS ear ringing!! i ask my wife and kids if can they hear it too but they just look at me funny, my wife even said once it might be from the humm of the fridge, does anyone eles get serious ear ringing when in cycle or before a cluster, it seems to be a precurser for me. coach bill


I get that too. I believe it is from the pressure build up. Maybe a SE???
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MkeithD
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Re: "inadequate response to treatments"
Reply #22 - Aug 12th, 2008 at 9:03pm
 
my episodes of hearing loss and massive ear ringing stopped when i got off depakote. now i just have general tinnitus (with no explanation from the doc) along with all sorts of facial sensory oddities eg- cold sensitivity, slight hearing "stuffiness" and a slight numbness on my cluster side. I am certain that the worst of my ear ringing/hearing loss was caused by the depakote.

best of luck 2 ya...MKD (>_<)
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Re: "inadequate response to treatments"
Reply #23 - Aug 12th, 2008 at 11:19pm
 
Hi MKD,

So how is it going since the infusions?  Did you see Rachel, the nurse practitioner, or Jen?  I know both of them, but routinely see Rachel for the past few years - she has  been such a huge help.  Both of the nurse practitioners have been amazing helps really over the years I've been going there!

Did they attempt to give you anything for your stomach to take while on the indomethacin?  Are you on anything for reflux?  I know some meds that are similar to indomethacin are so caustic to the stomach that they are automatically combined with something to protect the stomach, too.  If the indomethacin was working so well, instead of giving up on it, you might try asking them about taking something to protect the stomach...  Sorry if this has already been addressed!

As for the get-together in September - it is still a possibility, but we won't know if it is happening for sure until I hear from another CH'er in the area.  I don't want to really post info about the get-together yet since I'm not the one really organizing it, and I'm waiting to hear if we will still be able to have it!  I live in Narberth (well, for the next month anyway), so I'm just 25 minutes from the city.

When are you next going to the headache center?  Maybe I could meet up with you on your next trip down to Jefferson.  Let me know!

PF Wishes!
Carrie Smiley
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MkeithD
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Re: "inadequate response to treatments"
Reply #24 - Aug 13th, 2008 at 9:26am
 
hiya Lizzie2/Carrie

since infusions, the side of my face feels-weird.....no attacks (whew) and my neck hurts pretty bad. I saw Rachel. Yes i was taking an acid reducer along with the indomethicin.....it still messed me up. I'm back on it at a lower dose (50mg 3X daily).the idea being after infusions and another round of prednisone a lower dose of indo may be effective...if  attacks come back i'm goin on topomax which i read up on in the forum (and am not looking forward to) it sounds equally as bad as depakote was for me. *shrugs* we'll see i guess. My mood has turned pretty shitty since infusion, cause i feel like the pain is just below the surface, waiting to come back...nothing seems to be breaking my cycle..
as far as far as september...just PM me with any info.

my next appt at the headache center is 9/15/08...early in the morning.

MKD (>_<)
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« Last Edit: Aug 13th, 2008 at 9:28am by MkeithD »  
 
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