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Angry, Defeated, and Need a New Neuro in NYC (Read 7590 times)
Shuli
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #25 - Dec 7th, 2010 at 10:18am
 
I am preparing an entire file of info to take with me to the neuro on thursday morning.  The reason I'm going to this particular doctor is that she is understanding and sympathetic - so I'm hoping that if I present the info in the right way, she'll get on board and start writing Rx's for good meds - not the crap I'm on - and get me a tank!!! 
But the best news is that due to the support I've found here - and knowing that through all of this I'm not alone, I'm not crazy, I'm not depressed and miserable for no reason - my spirits have lifted and that has taken the edge off of so much of the this.
the pain itself is enough.  all the other emotional stuff just drags it to the bottom of the ocean and leaves it there.
Last week, and even yesterday, I just didn't know *how* I was going to make it through the day and night.  let alone the week.  It got so daunting.  I felt so trapped.
Today I feel like I can move forward and that there are so many options.

I can't wait to attend a gathering!
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #26 - Dec 7th, 2010 at 1:22pm
 
So glad you're feeling better! Have you started on the Melatonin yet? My husband found that it helped his mood and sleep quality as well as blocking hit nighttime hits. Here is a list I found of Melatonin deficiecy symptoms when we were researching it to determine if he wanted to take it:

Common symptoms and signs of melatonin deficiency:
insomnia
difficulty getting to sleep
difficulty falling back to sleep when awaken during the night
light sleeper/easy waking during the night
early morning awakening
un-refreshing sleep
lack of dreaming
family history of insomnia
personal or family history of breast cancer
personal or family history of prostate cancer
prostate enlargement
fatigue
depression
scoliosis
anxiety
sensitivity to stress
cataracts
neurodegerative disorder (MS, Parkinson's, Alzheimer's, ALS, etc)
elevated cholesterol
high blood pressure
blood clots
heart attack
heart arrhythmias

Now, it also had another effect. Taking the Melatonin was action; and action is the best remedy for depression. Whether he believed in it or not in the beginning it was the very act of striking back against this beast that started to help. This was premeptive, it was going on the attack instead of waiting for the next hit. It was, in fact, amazingly successful for him, but even if it hadn't been it was a change in mentalality from the "nothing helps, why try" state to one of hope and effort and determination.

Just thought I'd put that out there. Keep us posted on how it goes tomorrow!




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Jimi
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #27 - Dec 7th, 2010 at 2:19pm
 
Quote:
I can't wait to attend a gathering!


I hope you can attend in St. Louis. It would be really nice to meet you and surround yourself with clusterheads.

(We will have 02 with us lol)
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Guiseppi
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #28 - Dec 7th, 2010 at 3:07pm
 
Jimi wrote on Dec 7th, 2010 at 2:19pm:
Quote:
I can't wait to attend a gathering!


I hope you can attend in St. Louis. It would be really nice to meet you and surround yourself with clusterheads.

(We will have 02 with us lol)


One of my favorite DavCon memories is everyone hanging out, someone starts to get hit, a few people bustle around helping get the 02 going, someone grabbed a dish towel with ice, no one else even broke stride! The person getting hit was made to feel absolutely nothing was out of the ordinary. Sealed the deal for me. If you can attend, I promise you won't be sorry!

Joe
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Shuli
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #29 - Dec 7th, 2010 at 4:05pm
 
Guiseppi wrote on Dec 7th, 2010 at 3:07pm:
Jimi wrote on Dec 7th, 2010 at 2:19pm:
Quote:
I can't wait to attend a gathering!


I hope you can attend in St. Louis. It would be really nice to meet you and surround yourself with clusterheads.

(We will have 02 with us lol)


One of my favorite DavCon memories is everyone hanging out, someone starts to get hit, a few people bustle around helping get the 02 going, someone grabbed a dish towel with ice, no one else even broke stride! The person getting hit was made to feel absolutely nothing was out of the ordinary. Sealed the deal for me. If you can attend, I promise you won't be sorry!

Joe


That made me very emotional just thinking about it. 
Oxygen party?  I'm in!!

I'll start looking at tickets. 

It'll be great to meet you awesome super-humans in person.
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Guiseppi
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #30 - Dec 7th, 2010 at 4:41pm
 
Just one word of warning....this group hugs......a LOT! Wink So looking forward to meeting ya!

Joe
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"Somebody had to say it" is usually a piss poor excuse to be mean.
 
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #31 - Dec 7th, 2010 at 6:22pm
 
Guiseppi wrote on Dec 7th, 2010 at 4:41pm:
Just one word of warning....this group hugs......a LOT! Wink So looking forward to meeting ya!

Joe


I'ts better than a family reunion!  Can't wait to meet you.

Jerry
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Mike NZ
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #32 - Dec 7th, 2010 at 7:08pm
 
Shuli wrote on Dec 7th, 2010 at 10:18am:
I am preparing an entire file of info to take with me to the neuro on thursday morning. 


I'd be careful of having too much info and making out that you want the neuro to read it all NOW.

What I'd do is to have the material with you, well indexed. Then have a sheet of paper with bullet points of what you want to discuss, e.g. oxygen, different meds, etc. Then as you discuss each point you can reference the material without overwhelming the neuro. You can also make notes as you discuss things on the same sheet so you can remember later what you went through.

You're also not likely to forget to talk about something if it's written down too.

Just imagine being in their shoes. If you make it easy for them, you'll get a better result.

Hope it goes well!
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #33 - Dec 7th, 2010 at 7:57pm
 
Juline M. Bryson, MD

Attending neurologist at St. Luke’s–Roosevelt Hospital Center.

She treats Cluster Headaches.

She's the real deal.

check her out.

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jon019
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #34 - Dec 7th, 2010 at 8:03pm
 
Mike NZ wrote on Dec 7th, 2010 at 7:08pm:
Shuli wrote on Dec 7th, 2010 at 10:18am:
I am preparing an entire file of info to take with me to the neuro on thursday morning. 


I'd be careful of having too much info and making out that you want the neuro to read it all NOW.

What I'd do is to have the material with you, well indexed. Then have a sheet of paper with bullet points of what you want to discuss, e.g. oxygen, different meds, etc. Then as you discuss each point you can reference the material without overwhelming the neuro. You can also make notes as you discuss things on the same sheet so you can remember later what you went through.

You're also not likely to forget to talk about something if it's written down too.

Just imagine being in their shoes. If you make it easy for them, you'll get a better result.

Hope it goes well!



That there is GOLDEN advice. It is the rare doc who is not intimidated, insulted, ticked off, whatever when approached by a patient who probably knows more about the condition than they do....and throws a bunch of info in their face.

Take your cues...proceed with courtesy and respect... but advocate firmly for yourself....aint no one else gonna...If you don't get the same back...fire 'em and move on.

Not bashing docs here...this is the reality with which we live...

Best,

Jon
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #35 - Dec 7th, 2010 at 10:09pm
 
jon019 wrote on Dec 7th, 2010 at 8:03pm:
Mike NZ wrote on Dec 7th, 2010 at 7:08pm:
Shuli wrote on Dec 7th, 2010 at 10:18am:
I am preparing an entire file of info to take with me to the neuro on thursday morning. 


I'd be careful of having too much info and making out that you want the neuro to read it all NOW.

What I'd do is to have the material with you, well indexed. Then have a sheet of paper with bullet points of what you want to discuss, e.g. oxygen, different meds, etc. Then as you discuss each point you can reference the material without overwhelming the neuro. You can also make notes as you discuss things on the same sheet so you can remember later what you went through.

You're also not likely to forget to talk about something if it's written down too.

Just imagine being in their shoes. If you make it easy for them, you'll get a better result.

Hope it goes well!



That there is GOLDEN advice. It is the rare doc who is not intimidated, insulted, ticked off, whatever when approached by a patient who probably knows more about the condition than they do....and throws a bunch of info in their face.

Take your cues...proceed with courtesy and respect... but advocate firmly for yourself....aint no one else gonna...If you don't get the same back...fire 'em and move on.

Not bashing docs here...this is the reality with which we live...

Best,

Jon


You have just heard from two very wise men!
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"Political correctness is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a piece of dung by the clean end." Texas A&M Student (unknown)
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #36 - Dec 8th, 2010 at 6:39am
 
I'm pulling for you Shuli and I hope you have more luck with your Doc than I did with my current neuro no matter how I gave him the information he refuses to look at it or listen about O2.  Praying I get in to see Dr. Rozen SOON!!!

Wishing you Much Luck Shuli!   Smiley

P.S.
You will remember your first fellow CHer hug for the rest of your life!!   
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Shuli
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #37 - Dec 8th, 2010 at 5:24pm
 
Thank you all so much for the advice and help preparing.  I'm writing out all my notes now.  My #1 priority is getting Oxygen.
Second priority is getting meds to regulate the attacks & bad shadows that I have every day.

Thanks Jargold for Dr Bryson's name!  I live very nearby.  I'll make an appointment - I read her bio and she lists Cluster Headaches as a speciality. that already is a shimmer of hope!

Can't wait to meet you guys - and I'm banking on those hugs, people.  bring it.
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Shuli
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #38 - Dec 11th, 2010 at 7:02pm
 
So I don't think it went as well as I would've liked.  She was really very nice and I could tell she meant very well - and asked a lot of questions.
But I told her that the reason for my visit is that I have already been diagnosed with CH - and my last neurologist, after assuring me she could get me oxygen, refused to do so.
the new neurologist said she was concerned because she didn't know how to prescribe that either.
Her honesty was very reassuring.
But we didn't come up with a game plan.

She asked me to continue on the Indocin (which I really don't like - it's causing a lot of stomach upset and makes me really dizzy) for 5 days and to come back on tuesday.
I told her it doesn't do anything on level 10 hits.  But she said she wants to see if it eliminates the "other" shadow headaches.

I guess she's trying to rule out other things - she asked me to get an EEG.  She thinks maybe allergies might be playing a role (I don't have seasonal or other allergies).  She also asked me to try to take my inhaler during the next attack because it might be hypoxia.  She noted my low blood pressure. Yes, I have low blood pressure and get dizzy upon standing up.  That's been going on for years.  Yes, I have asthma and yes I'm slightly anemic.  but this is NOT causing my CH's.  I know she's trying to rule all of this out and being thorough. 

But I feel like this is not addressing my critical situation. 
I left the appt thursday morning feeling really glum.  It's only causing a bad feedback loop of more isolation and stress, which makes the shadows and everything else worse.

What's even more interesting is this:  My first neurologist - the aggressive defensive one who would not call me back with my MRI results from October after repeated requests - strangely calls me on Thursday afternoon leaving me a nice message saying that I have not followed up with her about my MRI and "nothing to worry about, it's quite benign"! WHAT is benign?? I mean, I know what the word means - but what in my brain is benign?
It's all so aggravating.

At the very least, I'll go to the nice, sane, caring neurologist on Tuesday and have her explain my MRI to me.

Obviously I need to go to specialist. 

Trying to keep my spirits up - I don't have to preach to the choir - but it's very hard.  This is a daunting struggle.
I feel like the options are running out - or at least my ability to find new options is.
sigh. Cry
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #39 - Dec 11th, 2010 at 7:11pm
 
Terrible!  This is a strong statement but I would not even bother with neurologists.  Call a headache specialist.  Some will get you in very quickly if you say you have cluster headache, or, if not, you are more likely to find there has been a cancellation with a headache specialist than a neurologist (someone with occassional migraines is more likely to cancel than someone with, for example, multiple sclerosis) and they can fit you in in that spot. 
The treatment you have been receiving from these neurologists is unacceptable.  Don't waste any more time with people practicing quack medicine when it comes to CH.  This advice coming from someone who has been there done that.
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #40 - Dec 11th, 2010 at 7:14pm
 
Sorry...I see that someone recommended a neuro who knows about CH--that would be an exception to my rule.  Otherwise you take a big gamble they don't  know how to treat CH is all.
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #41 - Dec 11th, 2010 at 7:22pm
 
Yes and Yes.  I'm learning fast - and the only reassurance is that this seems par for the course. I feel lucky that at least I got a quick & accurate diagnosis.

I'm going to call Dr Bryson on Monday morning.  Hopefully I can get it in.

thanks...
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #42 - Dec 11th, 2010 at 7:47pm
 


u better!

I so wamt to call the AMA and make a formal complaint to the Ethics commitee. how dare a dr give u a diagnosis then withold first line medications!

i think there was a paper written by Goadspy stressing the unetical nature of such dr behavior 

Let me at them Shuli!

oxoxoxo
E
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #43 - Dec 11th, 2010 at 8:51pm
 
I agree, it's totally unethical and it happens.
Can I ask how you are dealing with the headaches, are you just riding them out?  (You don't have to answer--I just feel bad that is why I'm asking.)  Go to the ER tonight if it gets bad.
(My personal advice to you if you get them at night--try taking 3 benadryl right before you go to bed, if you are not used to having benadryl in your system, this will probably buy you some relief. tonight.)
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Shuli
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #44 - Dec 12th, 2010 at 11:35am
 
please don't feel bad about asking! that's the joy of being on here. 
I have been taking 9mg of melatonin at night for the past week or so - and it's been helpful. I forgot to last night because I was in deep pain.  My jaw was sore and locked - like I'd taken a few beatings in the boxing ring. 
slept about 2 hours - and I use that verb lightly.
Up since 3am in bad pain.  Level 9, stabbing, throbbing shadows.  didn't get to 10.  but 8 hours of sustained level 9 pain. paced around in that awful state of feeling like you're in a bad horror movie. 
Took imitrex 5mg nasal.  Nothing.
75mg Indocin.  Nada.

It's finally easing up, fortunately! And its a cold and very rainy day here so I'll just go try to sleep for a bit.

I am asking santa for an 02 tank for xmas!!!!
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #45 - Dec 12th, 2010 at 2:09pm
 
I was wondering how you things went for you last night--sorry to hear it was such a rough night.  That sounds a lot like what was happening to me at the beginning of this cycle.  I don't know how you're dealing without O2, because even with O2 I could not deal with that frequency and the lack of sleep.  One thing you could try to do is to go see your regular doctor, print out the O2 information from here and ask for oxygen.  Also, it really sounds like a preventative like verapamil might help you a lot--I am on it now and it is helping, had one headache try to break through last night and that's it.  Plus I am in MA and this low pressure system over both our states is not helping.  I would definitely at least ask your regular doctor and even suggest something like verapamil.  Sometimes a regular doctor may be more agreeable to giving you what you need than a neurologist who just doesn't want to take the leap of prescribing oxygen (which makes no sense).  You deserve to feel better--a LOT better.  I hope you can get some relief very soon.  And some sleep.
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #46 - Dec 12th, 2010 at 2:26pm
 
Oh, and with the indocin, I don't think that that helps cluster headache--I think it helps a different kind of headache called CPH.  So that is probably not going to help your headaches.  I am not sure if I am right about that, others here would know better.  I hope you get some relief and get to see a doctor soon.  Fingers crossed for you.
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #47 - Dec 12th, 2010 at 5:47pm
 
Thank you Starlight.  I appreciate it.
It was a doozy. 

I realized that I have a script for prednisone from my first dr's appt. I filled it today and will start taking it tomorrow.  I can't take anymore beatings!

I think you're correct about Indocin - they use it to rule out other headaches.  and well, it's ruled out I believe.

Hope your pain subsides as well.
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #48 - Dec 13th, 2010 at 6:19am
 
Hey Shuli,

It's horrible to hear that you are still hurting and not having much luck with the medical fraternity  Angry  I don't really have much to offer in the way of advice so I'm sending you a big Smiley from down under.

To be honest, I just don't understand the problem with writing a script for 02.  My doctor (GP) just wrote on a letter head... this person suffers from cluster headaches and requires oxygen at 15lpm.  I took that letter to the local supplier - job done.  How hard is that???  Urghhhh

I do so hope you get a break soon!! 

Kate
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Re: Angry, Defeated, and Need a New Neuro in NYC
Reply #49 - Dec 13th, 2010 at 6:42am
 
I think this is a good reference to give to any doctor considering that it should be on their shelves therefore denying you is a direct violation of their oath if nothing else medically would suggest that you shouldnt use.....
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I can't believe that I have to bang my Head against this wall again. But the blows they have just a little more Space in-between them. Gonna take a breath and try again.
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