A mixture of migraine and cluster makes for some difficulty in treatment. If at all possible, would encourage you to find 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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There are a number of effective meds for Cluster but it will take patience to find the particular combination which is effective for your mixed mig/cluster picture.

Thanks guys! FYI, I don't have a Vit D3 deficiency. I've been tested multiple times. I'd know this even if I hadn't been recently tested. I live in Tempe, AZ. (114F/46C today) and I'm very light pigmented. Triptans are also no help to me. I suspect for a similar reason.
Thanks for suggesting that I take the D, butt I don't think that will help in this instance.

The doctors idea of "normal" is nowhere near what you need to be for the D3 to help. Batch has included charts in his posts on "123 days pain free". It's a very long thread but if you scroll through it quickly the chart is easy to spot as it's pink and green. It tells you what your levels need to be and you can compare your own results to it.

I'm working with my insurance at the moment to get them to pay for the O2 with the proper mask and flow rates etc.

As I said before, I don't have a Vit D3 deficiency.
I realize that D3 has been shown to provide some measurable improvement to 80% of CH victims and that some even show nearly complete improvement. 80% is a lot, but it is not 100%. I am part of the 20%. I'm also part of the ~5% that have both CH and migraines and the ~15% that have side shift sometimes. Though the gross majority of my attacks/clusters/months are on the right side, every once in a while it will switch to the left for a bit.

Like most CH sufferers, I have tried a lot of treatments. Here is a short-list:

Melatonin - Works somewhat at shortening attachs and cutting down their number, but I sleep for 18 hours and my migraine symptoms come back with a vengeance making it impossible to function for work purposes. I pretty much have to be down 24 hours a day.

Triptans - Help with the migraine symptoms but increase the length, pain and shadows of the CH attack. Not worth it. Injection does not abort the attack.

D3 - Does nothing for me (yes even in very high doses)

Opioids - They only help if I can take enough to be effectively unconscious of the pain (drooling) and I need to take them long before an attack, which takes some guess work, and they can give me rebound symptoms, addiction. Pretty much not an awesome choice.

It is also possible that one might try some things outside the prescriptive process. But those aren't necessarily legal so I'll forgo that discussion in a public forum.

Also, as I said before, I am psychologically exhausted and am seeking a support network outside my worn-down family. Once I'm feeling up to it, I'd also like to provide the same to others. Now, this conversation has exhausted me further. Respectfully, I am not on this discussion board for unsolicited and aggressively persistent help with treatment options. I researched all of this in minute detail long before feeling comfortable enough to post my issues to a group board. I expect that most people do the same.

My personality is such that I aggressively seek out treatment options and am often quite aggressive with my doctors. I've pissed off more than a few. I keep a copy of my own medical records and am adept at reading them.

I apologize for my direct approach in this response, yet my previous attempt at a lighthearted redirection did not seem to communicate my intent effectively.

In lighthearted response to some of your posts, while I was once a lifeguard for a few years when I was younger, I am no longer one. My middle son (Alex, 13) is a Junior Lifeguard, though I doubt that his VitD transfers to me. I also worked for years as an IT architect (think The Matrix). My wife (Michelle, I'll say  25) and I (both prior novelists) own a small publishing company, where we publish mostly fiction (novels, children's stories, etc.).
When I am not working, I like to spend time outdoors. I am a hobby metalworker and woodworker. We do a lot of walking, hiking, jogging, bike riding, swimming, playing at the park with Eli (3) and many other activities.
I have a pretty awesome life besides the monster chasing me.

Thanks for the support! I'm just so tired of dumping so much on my family yet I can't go-it-alone.

Thanks Bob! I've got a headache specialist and I've seen a few. Migraines aren't so bad, but as you say, it does make CH treatment much more complex and difficult. What works for most, won't work for me in many instances. I'd go back to just the migraines in an instant.

The biggest problem with having had migraines first (like 40% of the CH population), is that all of my Migraine friends and family act like they know what an attack is like because they have migraines.  It makes it very difficult to talk to them. Now I just direct them to youtube to watch a few attacks, then they start treating me like a china doll.
My wife wants to film me in an attack, and she has good reason (she wants to show every doctor I visit). I usually don't even want her there. I know it's stupid, but I try to hide it. I still want to be the indestructible husband and father. Sometimes I'll lock myself in the office/garage/bedroom. The shadow (I call it the herald when it's first) will wake me at night sometimes and I'll head out to the living room before the attach hits if possible.

I often get a half hours notice or more with no high level pain. But only a few seconds to a couple minutes when the attack hits.

Thanks everyone for the support!