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That alone would be cause enough to seek out another Doctor. One can debate the other point......but to exclude females from a cluster diagnosis is ignorant at the very least.

Studies have revealed how strikingly little education neurologists receive around headaches. This man is wrong on two points: the ratio of M:F has been getting closer over the last couple of decades; a mixture of migriaine & cluster symptoms is recognized as occuring in the same person during the same attack. Makes treatment more complex, to be sure.

If you have the option, urge you to seek a headache specialist.
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LOCATING HEADACHE SPECIALIST

1. Yellow Pages phone book: look for "Headache Clinics" in the M.D. section and look under "neurologist" where some docs will list speciality areas of practice.

2.  Call your hospital/medical center. They often have an office to assist in finding a physician. You may have to ask for the social worker/patient advocate.

3. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to or ; On-line screen to find a physician.

4. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to or Look for "Physician Finder" search box. They will send a list of M.D.s for your state.I suggest using this source for several reasons: first, we have read several messages from people who, even seeing neurologists, are unhappy with the quality of care and ATTITUDES they have encountered; second, the clinical director of the Jefferson (Philadelphia) Headache Clinic said, in late 1999, that upwards of 40%+ of U.S. doctors have poor training in treating headache and/or hold attitudes about headache ("hysterical female disorder") which block them from sympathetic and effective work with the patient; third, it's necessary to find a doctor who has experience, skill, and a set of attitudes which give hope of success. This is the best method I know of to find such a physician.

5. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to or NEW certification program for "Headache Medicine" by the United Council for Neurologic Subspecialties, an independent, non-profit, professional medical organization.
        Since this is a new program, the initial listing is limited and so it should be checked each time you have an interest in locating a headache doctor.
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WHY A HEADACHE SPECIALIST IS RECOMMENDED


Headache. 2012 Jan;52(1):99-113.
Cluster headache in the United States of America: demographics, clinical characteristics, triggers, suicidality, and personal burden.
Rozen TD, Fishman RS.

THERE REMAINS A SIGNIFICANT DIAGNOSTIC DELAY FOR CLUSTER HEADACHE PATIENTS ON AVERAGE 5+ YEARS WITH ONLY 21% RECEIVING A CORRECT DIAGNOSIS AT TIME OF INITIAL PRESENTATION.

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Smart man!

I will be kind and gentle with my remarks.  The man is a moron!  See definition:  mo·ron noun \ˈmȯr-ˌän\
: a very stupid or foolish person

I apply the second meaning of the word, i.e. foolish.  To speak so  authoritatively about a subject he obviously knows so little about is patently foolish and denotes a total lack of maintaining his education in the field he practices.  If he purports himself to be a headache specialist, as he does by treating your wife's migraines, but has not kept himself up to date on headache diagnoses or treatments his foolishness borders on malpractice.

Jerry