Posted by drummer (126.96.36.199) on September 22, 1999 at 18:49:18:
In Reply to: AM I AN ASS? posted by Billy S. on September 22, 1999 at 15:17:25:
Bob P is right; I am an idiot. You are not an Ass, but the doctors that you talked to are complete morons. Call the doctors again and tell them to get off their asses and look at the place where they keep their medical books. They should find at least one of the following books located there. If not; immediately hang up the phone and call a real doctor. Good Luck!!!
HEADACHE IN CLINICAL PRACTICE – Stephen D. Silberstein, Richard B. Lipton and Peter J. Goadsby. ISIS Medical Media.
Oxygen inhalation, a standard abortive treatment for cluster headache, was first used by Horton. Given via a non-breathing mask at a flow rate of 7-10L/min, it is effective in approximately 70% of patients, usually within 5 minutes. In some patients oxygen may delay rather than abort the attack, and pain may return. In a placebo-controlled study, hyperbaric oxygen (2 atm) for 30 minutes aborted an acute attack of cluster within 5-13 minutes in six of seven patients, while none of the placebo group had relief. Long-term, three patients reported complete and three patients partial interruption of their cluster cycle. Other authors have reported similar benefit of hyperbaric oxygen.
HANDBOOK OF HEADACHE MANAGEMENT – A Practical Guide to Diagnosis and Treatment of Head, Neck and Facial Pain – Joel R. Saper, M.D./Stephen Silberstein, M.D./C. David Gordon, M.D./Robert L. Hamel, P.A.-C.
Oxygen (100%) inhalation should be administered via a face mask at 7 liters/min for 10-15 minutes at a time, preferably given at the onset of the attack.
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