Good for you for explaining yourself in a calm and efficient manner and really getting through to this Dr. about
your side of the issue.
I bet she was impressed about
how you handled things and this is why she is just asking that you give the spray a try and then see if you need the increase.
I know there is so much more DEA and state regulations and pressure on Drs. these days with having to take baby steps with patients and tirating their doses. And even though you have been on much higher doses and must stronger meds....she hasn't walked that journey personally with you.
So it sounds like both of you are respectful of each other and yes...she "hears" you which is critical as well as you "heard" her and are willing to try the path she is asking....
I am very blessed to have that type of relationship with my PM as I respect his knowledge as a Dr. and we work together on helping me stay at a 5 to 7 on a pain scale using meds as well as all the other modalities.
Thanks for sharing your update! I hope the spray works for you to help your migraines!
SB and "the pup who snores loudly"
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha"))
ACDF with hardware, allograft bone Nov. 2005
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006