Unfortunately, the alcohol history has a legit place in you records but smoking is another issue.

For many years, even in some info on CH still being published, the role of smoking is mentioned. However, over the years I've never seen any scientific data to support the impact of smoking on CH. So, can only assume our doc is stuck on some old training.

To even loosely imply that stopping smoking will cure the CH is lazy medicine and bad medicine. I understand doctors wanting people to stop smoking, lose weight, etc, but I think its bad medicine to leverage someone's agony from a disease like CH to persuade them to change their behavior.

I had a doc for a while who nearly refused to talk about my CH, preferring to harp about my weight and cholesterol count - there was certainly a place for that, but not at an appointment I made to get help with CH. She said "you aren't always going to have these headaches, but if you don't bring down your cholesterol you'll have real problems."

Maybe your neuro just thought the nicotine was triggering your attacks, but again, if s/he wasn't sure, it was lazy to say that if it wasn't proven somehow.

BTW, I'm guessing you went through a treatment facility of some sort for alcoholism?

Interesting. Usually its the treatment people who refer to themselves as "recovering."

I'm 69 years old and suffered with migraines, on and off, for as long as I can remember. I smoked from age 14 and stopped at 16  -  never touched tobacco in any form since. About 8 years ago my 'migraines' got so bad and so frequent my GP referred me to a Neuro Consultant who immediately diagnosed CH.. Before that I was an ocassional social drinker and only VERY rarely got 'legless'. Even this stopped when CH was diagnosed. My first 4 years with CH were Episodic (seasonal) but then I went chronic. Can someone tell me what part smoking and alcohol abuse had in my CH onset?