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The emotional toll (Read 3975 times)
klusterkat
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The emotional toll
Aug 28th, 2014 at 12:47am
 
My name is Kat. I am a 31 year old female. I currently live in Texas, but I am from Missouri. I was diagnosed with cluster headaches when I was 25 by an ER doctor and again when I was 27 by a neurologist. I went 5 days, the first time I had them, thinking I had a brain tumor. I took no meds and continued working through my shifts at work. I finally went to the ER because I couldn't handle the pain any longer. I was sure I was dying. (I am very stubborn when it comes to pain and making a big deal out of things.) I am episodical. I go about 2-3 years in remission which is a blessing considering the state of this condition. My biggest fear is the emotional toll it takes on me and my family.
I know they are called suicide headaches, and for good reason. The last episode I had two years ago, (I currently began the latest attack 3 days ago) I thought of death often. I love my life. I have an amazing supportive husband. Between the two of us we have 5 children. A 10 Year old boy, my husbands step-son from his previous marriage that we are still blessed to have visitation with, a 7 year old and a 5 year old, my husbands biological children from his previous marriage, my other two step sons, My 5 year old boy from MY previous marriage, and our infant daughter we have together. Four boys and one girl! Big family, but a very happy and loving blendend group! The pain was enough to almost make me give that up. Horrible I know. It's not that I feel my life is not worth the fight. Because it is, hence the reason I am still here today and my husband considers me the strongest woman he has ever known. The pain has me living in fear. The idea of death is to bring an end to the PAIN. I would never do it, and I have never actually attempted it. I know there are others out there that have felt the same. You are scared to sleep, you know the minute you fall asleep your peaceful slumber will be interupted with the peircing stab in your temple and you will jump up and start the pacing process of trying to stay quietly suffering so you do not disturb those around you. You fear any activities you could do as a family. That is the last thing you need is to be in public and have one start. Then there will be a whole group of witnesses to your display of "crazy" and your eye droops, making you look like you are having a stroke, tears run down your face, you cant sit still, you bang your head with your fist and hold back the screams because they don't help anyway. You have a fear of who will drive you to the hospital if it comes to that. They won't give you medicine to stop the pain if you are alone. SOMEONE has to get out of bed and wait by your side in the ER. You are an inconvience to your family and friends. Your children don't understand why mommy locks herself away to pace and cry away from their innocent eyes. You go into remission and worry about the countdown of when the next spell will hit. When it does you cry for awhile even after the pain has stopped because you simply can't imagine going through this again. It feels too soon. You wish there were more time between spells. You beg for the spell to end quick so you can get on with your life. You are afraid everyone around you will start to think you are faking your pain. Like you are being overly dramatic about it all and they could never understand its beyond your control. You try to explain and those that do try to understand, you know deep down they honestly don't. They see you as suffering from MIGRAINES and not as a clusterhead. The shadows you have throughout the day cause you to tense up in frustration. Then, everyone around you is asking what is wrong and if you are getting another "headache". You want to scream they aren't headaches ok! They are not even close to a "headache".. it is an icepick that has been jammed into my temple that I can't get out. The side of my head feels bruised from the pain and the action of me banging my fist into it out of desperation.
I joined this group looking for those who understand. I know NO ONE personally who actually experiences what I do. I try to explain and feel I can never do it justice. I feel by reading these experiences I know I'm not alone. I will not give in to the beast. My life is worth it even through the pain. My husband and my children are WORTH every bit of this.
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Mike NZ
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Re: The emotional toll
Reply #1 - Aug 28th, 2014 at 2:59am
 
Hi Kat and welcome to a place where people know just what the pain of a CH is like as we either have them ourselves or we support someone with them. You are no longer alone but part of a family spread all over the world.

So much of what you wrote reminds me of life before I had any control over my CH with no effective medication. Have you got anything to prevent CHs? Something like verapamil or lithium? These can help block many of the CHs you might get.

Have you got anything to kill off a CH when one arrives? Oxygen has been my lifeline as breathing it at 25lpm through a non-rebreather mask can kill off a CH in under 5 minutes. Read up about how we use it at - Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register.

Have you got injectable imitrex (also known as sumatriptan or imigran)? This too can kill off a CH in about 5 minutes.

The combination of an effective preventive plus abortives is life changing.

Another thing to try is energy drinks, something like Red Bull or Monster, which contains both caffeine and taurine. Just drink it rapidly as soon as a CH starts and it can help reduce the duration and intensity of a CH.

Also read up about how many of us are using vitamin D3 to prevent our CHs. I've been CH pain free for over 2.5 years using it with some over 4 years. It has helped about 80% of people who have tried it.

Read up like mad all the posts you can here, you'll learn so much. And ask us anything.
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AussieBrian
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Re: The emotional toll
Reply #2 - Aug 28th, 2014 at 3:31am
 
Welcome home, KK, and please tell hubby he's a hero of ours. Then kiss the kids for us and let them know it'll all be OK soon.
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My name is Brian. I'm a ClusterHead and I'm here to help. Email me anytime at briandinkum@yahoo.com
 
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maz
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Re: The emotional toll
Reply #3 - Aug 28th, 2014 at 4:20am
 
Hi Kat,
Wow. Apart from your age, and the number of kids you have, you have just told my story word for word.

You don't say what meds you have, if any. There is plenty of stuff that will help make your episodes more bearable, so you can get your life back. Take note of what Mike NZ has suggested, because these are the most common and most effective treatments.

I use the oxygen when I'm home - I'm lucky enough to have a spare room where I keep it. I've made up  the bed and when I get a hit at night I just creep off to my little room, and usually sleep in there for the duration of the episode. My husband doesn't get disturbed, and doesn't even know I've had a bad night, till I tell him. If you have to use it in your own room your husband would probably sleep through it anyway.

When I go out and I'm away from my 02 tanks I always carry two injections with me in my bag. I NEVER leave the house without them. A quick trip to the nearest ladies room and no one is any the wiser. I've even used them in public a couple of times, and no one noticed. They will abort the worst CH in little more than 5 minutes.

I know in America you may have insurance issues, or have to pay for everything yourself, and the injections are expensive. If you get the prescription filled a few times when you are not in an episode, you will have a stockpile for when you need them, and it helps to spread the cost.

I know there are others who live in Texas. On the left of your screen is a blue tab entitled "where we live". Have a look there and you may find some one who lives near you. I have regular lunch dates with a young lady who found me that way. She's 28 and I'm 64, and we have absolutely nothing in common apart from this thing in our heads, but we both enjoy our get-togethers.

Last but not least, You are blessed in having a loving family. Get your husband to join up and talk to us on the supporters corner. Loving supporters are what we need most, but this condition impacts on their lives too, and often they don't know how to handle what happens to you. We can support him, while he supports you.

Keep coming back here to ask questions ( no question is too small or too silly) or to talk, share what you know, or just rant if you need to. We're not doctors here, but we are experts.
Maz.
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BobG
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Re: The emotional toll
Reply #4 - Aug 28th, 2014 at 5:24pm
 
Quote:
You are an inconvience to your family and friends. Your children don't understand why mommy locks herself away to pace and cry away from their innocent eyes.

A lot times children will think it was something they did that made you 'sick'. They've never seen or learned about headaches. When you are not hurting talk to the kids. Assure them that they are not to blame in any way. Explain in a simple way what and why you have to be alone. If they ask questions answer them honestly. They really do want to help. When my kids were little they were given jobs/tasks to do to help me. They were to not talk to me. They were to play quietly. Turn the TV down. Maybe go outside for a little while. You may have more ideas. After the attack always thank and hug them for doing their job. Tell them you are proud of them for doing their part. Children are a lot smarter than many people give them credit for.
You are not an inconvenience to your family and friends. You just happen to be a person with a condition they don't understand.
Try to carry some energy drinks with you. Keep some in your car and in your desk at work. A 5-Hour Energy drink is small 2 oz. bottle that will fit in a pocket or a larger Red Bull/Monster will fit is a purse.
Welcome to the board. Please come back. We do understand.
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Stay stressed. Never relax. Never sleep. Ever.
 
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klusterkat
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Re: The emotional toll
Reply #5 - Aug 30th, 2014 at 2:10am
 
Thank you all for your supportive words. I'm sorry I did not list my medications. I guess they are kinda pointless in my eyes because they don't cure it, they just occasionally help. I have been put on zomig (A migrane medicine I had as a kid for regular migraines that I no longer have anymore) It did not work. I tried Imitrex in pill form, it did not work. I was put on steriods by my neurologist. He tried several different experiements with these to see if he could break my cluster cycle. I was given several different types of pain killers. Loratab in all strengths, vicoden, 800 mg ibprofen, and other ones that I don't remember the exact name of because they made me feel sick on top of the pain. I was put on the needless imitrex shots. Sumatriptan? I believe is the technical term. I have been put on oxygen. That was a no go and almost made the pain worse because of the air blowing up that side of my nose made the piercing pain in my temple worse. The ONLY thing, perscription wise, that has actually killed a few beasts is imitrex in nasel form. I squirt it up the right nostril (that is always the side I have them on) and the cluster is gone within a couple minutes. It is nice too because I don't have the after shocks of pain meds. I have had several cases where I ended up in the ER and they only thing that works at that point is a shot of Dilaudid mixed with phenegran. I had a bad experience with toradol and reglan that cause me to have a panick attack and basically crawl out of my skin, so there is not a lot I will let them do for me at the ER anymore other than that. I avoid the hospital at all costs however. One, most doctors don't understand cluster headaches. They treat me like I'm a drug addict there for pain meds. I tell them after this spell you will not see me again for two years unless I am dying. After the spell is over I really don't go back, even to the doctor until they hit again.
Thank you for the ideas for my children. I know they don't understand. My husband is very good about controling the crowd while I'm having one. He will usually only ask me once if there is anything he can do (he knows there is not, but he can't help but ask) The kids know that I am going through something very painful. But they also get told that I am tough and that I love them very much. I hide from them so I don't scare them. Not ony do I look like I'm having a stroke from my eye drooping, but the pacing and the banging my temple with my fist, might come across as a little intense to their young eyes. When they are older I will explain more. For now it isn't something I want to go into detail over. The two older ones already worry about money and things they shouldn't at this age. I don't want to dump more on them. I have never lost my temper or anything with them when I'm in pain. I understand that it is not their fault. I am frustrated with the pain, not the people around me. I don't even expect them quiet. The familar sounds of home are comforting to me. As of tomorrow I will be a week in to this spell. They are getting worse every day. The pain lasts longer. The shadows come and go more often, and I rarely sleep because I'm afraid of the pain it will bring. I have found one of my triggers is getting too hot. I take cool showers and avoid the 100 temperatures of the summertime when I'm going through these. What are some other triggers I can watch out for? I don't smoke or drink (often... as in maybe once a month when we have free time and not at all when I'm experiencing these things) but I don't know what some of the actually triggers are that people experience. I know everyone is different. But there is not a lot of research to look up. I keep reading the same information over and over on different websites. Like that's it? We just repeat oursevles... most painful condition known to medical science... no cure.. here are the symptoms.... blah blah blah. I want to see more studies done. An actual fight for a cure. It's frustrating (but yet a good thing) how it affects only .1% of the population. It makes raising awarness very hard to do!
I really enjoy all of ya'lls posts. I have a couple people on facebook saying they have cluster headaches. Talking about how they feel so sick and have to go lay down in a dark room. How they get them for a week at a time. I have to fight back the urge to be annoyed. My response was to simply post a link to the cluster headache test found on this website. I answerwed all the questions correctly when I took it. I hope they take it and realize they have migraines and are NOT a clusterhead. lol
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maz
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Re: The emotional toll
Reply #6 - Aug 30th, 2014 at 3:51am
 
You are right about there being little awareness of CH out there in the medical world. The trouble is that the big pharma companies who sponsor research are not willing to part with their money for a cause that won't bring them mega profits. It's a rare condition and there are just not enough of us for them to get a big enough return on their money.

I do believe children are far more understanding than we give them credit for. My young friend who I mentioned in my previous post has a 6 year old daughter. She sets up the oxygen, administers the injection, plumps up the cushions and makes the tea. These are her "jobs", and then she plays quietly by herself in another room till it's over.

Ignore all those people on FB, and in life in general who say they have CH. We've all come across them. "Oh, I had one of those once", or "take some paracetamol and lie down", or "it's just a headache so why all the fuss", or the one that gets me most "nothing can be as bad as my migraine". To them, whatever they have is probably the worst thing they have experienced, so it's as bad as it can possibly get. They cannot understand something they haven't had, and I wouldn't wish for them to ever find out, with the exception of a few arrogant doctors (we've all met at least one of those) and the directors of the pharma companies. One single hit lasting an hour and they would soon get off their backsides and start looking for answers. Search around these boards for the topic "dopiest responses". It'll make your day !!!!   Grin
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Bob Johnson
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Re: The emotional toll
Reply #7 - Aug 30th, 2014 at 8:04am
 
It sound as though your doc is not skilled in treating the complexities of headache. If you have the option, suggest you locate a headache specialist.
=====
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 Login or Register; On-line screen to find a physician.

4. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register 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 Login or Register 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.
=====================================================================
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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Bob Johnson
 
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Mike NZ
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Re: The emotional toll
Reply #8 - Aug 31st, 2014 at 5:30am
 
It's always worth listing medications as there can be some you've not tried or not used at high enough doses (which is very common).

Pain killers are virtually useless for CH. They take too long to get absorbed and even the strongest narcotic painkillers don't really touch the pain of a CH and yet they bring all the issues of things like ever increasing doses, rebound CHs and dependency issues.

Most people find ER just about useless for dealing with CH as they are pretty clueless about CH and all they normally do is to either use pain killers or imitrex which you already have.

How exactly did you use oxygen? From the description it sounds like you were using nasal canulas which are useless. What you need is a non-rebreather mask and a flow rate of 15lpm or higher. Read more about how we use oxygen at Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register.

For CH triggers the one that affects most people is alcohol, so if it does trigger a CH, avoid until after the cycle is over. Or you can do the "beer test" to see if it is really over. Otherwise common triggers are stress or stress changes (high to low or low to high), getting tired, getting hungry, solvent fumes, getting too hot and exercise. But everyone is different, so you need to figure out your own.

I hope this helps, but any questions, just ask...
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klusterkat
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Re: The emotional toll
Reply #9 - Sep 1st, 2014 at 5:03am
 
Thank you for referring me to the "dopiest responses". I actually laughed out loud at several of them. I have gotten many of those responses. People with good intent that just have the name "headache" stuck in their head and don't understand it's a PAIN in my head.. not a headache. As far as the oxygen goes. Yep... that's what the doctor at the ER did. I asked for oxygen to give it a try, and he gave me the things that go up my nose. I ended up ripping them out after a few min. That dry air blowing directly up the right side made my right eye water worse, and the pain in my temple spread through my nasal cavity on that side. I swore off oxygen at that point. Next time I end up there I will ask for the actual mask. I avoid the pain killers for the most part. The doctor prescribed them but you are right, they do not work fast enough or period half the time. The nasal Imitrex has been my best bet so far. There is the occasion though where they don't work and the pain is so much I really don't care if they give me a dang shot in the rear as long as the pain stops. RELIEF is all I want at that point. (At any point really) I'm past a week now, and I haven't been to the ER once. There have been a few times I almost resorted to it though. I have a few that last for over an hour and at that point I'm so far at the end of my rope I'm sobbing. I must say I've gotten pretty tough from these things though. I had my daughter in January and my contractions were 1-2 min apart by the time we made it to the hospital. I was barely sweating and was pretty calm. The nurse told my husband I was the toughest woman she had ever seen when it came to pain. She was watching the contraction monitor and said I should have been having more of a reaction to the strength of the contractions. He simply said, she suffers from cluster headaches, there is not much my wife can't handle. It's almost a bad thing when you have become so accustomed to pain, you barely bat an eye at labor pains! Thank you everyone for your responses. This group is helping me a lot. I read the posts at night when I can't force my self to sleep because of the fear of pain. The beast is NOT a nice alarm clock. Take care everyone!
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maz
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Re: The emotional toll
Reply #10 - Sep 1st, 2014 at 7:03am
 
I had one once that lasted 16 hours, and by then I was having some very dark thoughts. Mostly they last between 45 and 60 minutes without treatment, but I've had one or two that are only 20 minutes.

If you get stuck with the nose canula again just stick it in your mouth, hold your nose and close your mouth tight, and suck it down your throat. As long as the flow is high enough it should still work that way. Wink

You could have 10 babies at once before childbirth could even be put on the same scale as CH.
Maz
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« Last Edit: Sep 1st, 2014 at 7:07am by maz »  
 
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feisty
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Re: The emotional toll
Reply #11 - Sep 3rd, 2014 at 4:45pm
 
Hi Kat,

I hope that you try O2 with a non-rebreather mask. I got my husband set up with that in one day. It took a little running around town but it was so worth it. It was a lifesaver for him because it really worked to stop an attack especially if he caught it early.

Also, do try the Regimen that I have linked to in my signature line. It has helped so many! My husband is pain free now Smiley
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Smiley wife of 48 year old husband who suffers from episodic CH ~ Batch's Anti-Inflammatory Regimen works!
 
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