Hello and I am sorry you are going to be facing the migraine.
Your PCP can write a standing order, however, the physician that sees you in the ER is the one that makes the decision as to what medication they choose to administer. The ER physician is the one that has done the medical screening exam and they are the treating physician. You PCP is not even in the building.
Some ER physicians will take the recommendation of what medication your PCP feels works best for you and others will make their own decision for treatment.
Many people get into this same position as it is not real clear to the patient how the hospital protocol works.
Other hospitals such as Shelters has only one treatment plan for all patients presenting with migraines and everyone gets the same med. A lot of patients don't like this as they want a differnet med too and they have the choice of the one protocol or going without.
These protocols and policies are set up by the hospitals. Is there a chance you can talk to your physician about increasing the amount of rescue medication you are allotted each month.
You have my empathy as I know how ill migraines can make you.
Take care and gentle hugsKitt
Kitt, Moderator: Anxiety, Panic & Depression *~*
Hey, thanks guys.
I really appreciate the words of support. I've had migraines for 35 years, since I was eight. I've tried pretty much every treatment for migraines over the years. I've never heard of Stymetil(sp?) before. What kind of medication is that? The benedryl wouldn't do much for me. The only thing that I've found that works when I get a bad migraine is Phenergan and a heavy dose of Dilaudid. The dose I need would knock most people on their ass. I'm lucky if I can go to sleep and wake up with the migraine totally gone. If I have the exact same migraine every time, my PCP's instruction would make sense. What doesn't make sense to me is a single treatment across the board for every single person that has a migraine. People are all different, and react differently to individual medications. For instance, Imitrex works great for some people, but I have a very violent reaction to it. The way medical facilities make policies seems to be completely arbitrary. I don't get it and I guess I never will. I just hope the new specialist I'm going to see in October will have an answer for me.
I just figured out that we don't have Stemotil here in the States. No wonder I haven't heard of it before.
I was going to participate in a study regarding closing the PFO in the heart to reduce migraines. I read a lot about the procedure, but I wasn't comfortable going through the procedure, waiting a year, and then doing it again if I was in the "placebo" group.
Thanks for thinking about me. Well, about one o'clock the inevitable migraine kicked in. I had dodged the bullet Friday and Saturday, but the weather turned on me early this afternoon, so the pain started kicking my head like a soccer ball. It stormed and rained for about four hours before I had to throw in the towell and go seek assistance. I went to a walk-in clinic run by the same organization as my PCP's office, and the desk clerk recognized me right away. Didn't even need my name or birthdate, guess she has them memorized by now.
Saw some new doctor and he was a royal pain in my ass, as if my migraine wasn't enough pain. He gave me a really hard time about my use of "narcotics" and made a big deal about my inevitable "addiction" to the pain meds. He wanted to play a "million" questions, which I was neither in the mood to answer, much less have to justify the amount of pain meds I have to take to manage my migraines.
My brain is still too fried from the darn Topamax I took years ago as a migraine preventative to follow an interrogation, much less compose a clear and concise argument regarding the years of treatment and the long list of medications I have been through that do not work effectivly. He said he would "help me out THIS time", but indicated he was going to contact my PCP first thing tomorrow, as the clinic "would not be continuing" to give me frequent pain injectionsl At that point, it was fine...whatever. He did give me the appropriate pain injection to rememdy my migraine, but looks like I am screwed about going there in the future.
Just great, one more place to refuse me required treatment. I'm just so sick and tired of having a fight on my hands every time I have to seek outside treatment. Nobody should have to live with this. "We don't care about your pain, just if you are a "drug seeker" cuz you have AN ADDICTION!!!? OOOOHHHH.....BAD PERSON!!!!! Boy, really does suck to be me.
Well, my migraine came back full force Monday morning. I tried to stay in bed all day and just deal with it, but it was true misery. First, the landscaping guy was mowing, weed-eating, and pruning...basically just making a loud ruckus all morning. In the afternoon, the storms came in and I just tried to stay under the covers. By eleven last night, I couldn't take the pain anymore, so I called my parents. My only options were to stick it out or head to the Emergency Room and take my chances. Well, I opted to try the ER, just in case I ran into a more reasonable doctor than the one that refused to treat me the last time.
Unbelievably, I got to the ER about midnight and there wasn't a single person waiting. I went straight into triage, straight back to a room, in came the nurse, and in came the doctor even before the registration people got to me. The DR examined me, said he'd order my regular pain meds and I was done. I got my shot, waited around for a few minutes, then got my discharge papers. I looked at the clock in the car when we were leaving and it was 12:38. That has to be a new world record!!!
Head is feeling much better this morning!!!
I know what you mean by that "stalled" feeling. I get that sometimes when a weaker weather from comes in and my head starts feeling the pressure. I've got that feeling now. It's overcast and has been drizzling steadily overnight, but not an intense storm. I've notice a new symptom since my migraine, and it's bugging the crap out of me. My right eye has been blurry ever since. It's like I've got this funky opaque mucus in it, like my allergies are acting up, but only in the one eye. Yesterday, I was putting eye drops in all day to rinse it out, but it's doing the same thing this morning. Very annoying.
I got some pain medication yesterday since I've been having a problem with an old GI bleed, so maybe it will help my head indirectly.
Shelter, let us know how you're doing.
Thanks so much for checking back in on the board. I hadn't seen any posts from you in the last few days and was getting concerned. What happened to your computer?